Jeffreystrammelldds,Christopherptrammelldds,Timothyggutmanndds,Rossdau

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JEFFREYSTRAMMELLDDS,CHRISTOPHERPTRAMMELLDDS,TIMOTHYGGUTMANNDDS,ROSSDAU

Practice address

1006 S 64TH Ave Ste 130
Yakima, WA 98908-2090

Phone

(509) 965-0080

Fax

(509) 965-7328

NPI assigned

Aug 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Mayhak

Title

Insurance Admin. and Credentialing

Phone

(509) 965-0080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chalet Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ross Duane Austin, D.D.S.

  • General Practice Dentistry
  • Yakima, WA
  • NPI 1750512927
  NPD
• D Michael Buehler, D.D.S.

  • General Practice Dentistry
  • Yakima, WA
  • NPI 1992714497
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1467462200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 S 64TH AVE STE 130",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082090",
            "telephone_number": "509-965-0080",
            "fax_number": "509-965-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 S 64TH AVE STE 130",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082090",
            "telephone_number": "509-965-0080",
            "fax_number": "509-965-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREYSTRAMMELLDDS,CHRISTOPHERPTRAMMELLDDS,TIMOTHYGGUTMANNDDS,ROSSDAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "MAYHAK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "INSURANCE ADMIN. AND CREDENTIALING",
        "authorized_official_telephone_number": "509-965-0080"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5015201",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chalet Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Berreman, Arnp, PS
• Raven Java-McCandless
• Amanda Marie Jean
• Jeanette M. Stromme O.D. PLLC
• Jeffrey D Pruiett DMD
• Jenatte Clark Dermatology PLLC
• Debra L Jenkins, M.A., CCC-A
• Mary Jenkins, PA
• Jennifer L Gindt Arnp-C
• Geri Lee Jennings, RD

• General Practice Dentistry in Yakima, WA
• Providers in Yakima, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.