Lower Columbia Oral Health

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7443 Issued in WA

Legal business name

LOWER COLUMBIA ORAL HEALTH

Practice address

1538 11TH Ave
Longview, WA 98632-4123

Phone

(360) 636-3400

Fax

(360) 578-1277

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Scott Haghighi, DDS

Title

Owner

Phone

(360) 636-3400

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1477508794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 11TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324123",
            "telephone_number": "360-636-3400",
            "fax_number": "360-578-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 11TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324123",
            "telephone_number": "360-636-3400",
            "fax_number": "360-578-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER COLUMBIA ORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "HAGHIGHI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-636-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "7443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5021076",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lower Columbia Ambulatory Surgery Center
• Lower Columbia Community Action Council, Inc. (Lower Columbia CAP)
• Lower Columbia Eye Clinic Inc PS
• Lower Columbia Eye Clinic Inc PS
• Lower Columbia Head & Neck Associates PC
• Lower Columbia Pathologists PS
• Lower Columbia Women'S Clinic,LLP
• Matthew Timothy James Luce
• Linda S Ludvickson, MS, LMHCA
• Mary H Ludwiczak, MD

• General Practice Dentistry in Longview, WA
• Providers in Longview, 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 Jun 13, 2008; 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.