NPIMap

Organization Active NPI

Veltkamp Family Dentistry

  • General Practice Dentistry
  • Lynden, WA
National Provider Identifier
1477855088
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00004681 Issued in WA
Legal business name
VELTKAMP FAMILY DENTISTRY
Practice address
1610 Grover St
Suite C-1
Lynden, WA 98264-1539
Phone
(360) 354-5691
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Dr. Trent Veltkamp, D.D.S.NPI 1265411649
Title
Member Dentist
Phone
(360) 354-5691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00004681 WA Primary

Addresses

Primary practice location

1610 Grover St
Suite C-1
Lynden, WA 98264-1539

Mailing address

1610 Grover St
Suite C-1
Lynden, WA 98264-1539
Phone (360) 354-5691

National Provider Directory

National Provider Directory

Locations

1610 Grover St
Ste C1
Lynden, WA 98264
Phone (360) 354-5691

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1477855088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 GROVER ST",
            "address_2": "SUITE C-1",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641539",
            "telephone_number": "360-354-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 GROVER ST",
            "address_2": "SUITE C-1",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641539",
            "telephone_number": "360-354-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELTKAMP FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "VELTKAMP",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "MEMBER DENTIST",
        "authorized_official_telephone_number": "360-354-5691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00004681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynden, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.