Organization Active NPI

Welch Vanbibber Haught DDS PC

  • Dentist
  • Port Angeles, WA
National Provider Identifier
1487176228
Registry record updated Jul 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60282727 Issued in WA
Legal business name
WELCH VANBIBBER HAUGHT DDS PC
Doing business as
Harbor Kids Dental
Practice address
1417 E Front St
Port Angeles, WA 98362-4618
Phone
(253) 759-5437
NPI assigned
Jul 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2017

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

Authorized official

Name
Christina Ojeda
Title
Regional Manager
Phone
(253) 347-9917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DE60282727 WA Primary

Addresses

Primary practice location

1417 E Front St
Port Angeles, WA 98362-4618

Mailing address

5401 6TH Ave Ste 201
Tacoma, WA 98406-2618
Phone (253) 759-5437

Other names 1

  • Harbor Kids Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1417 E Front St
Port Angeles, WA 98362
Phone (253) 759-5437

5401 6th Ave
Ste 201
Tacoma, WA 98406
Phone (253) 537-5437

Practitioners & affiliated clinicians

Practitioners 1

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": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1487176228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 6TH AVE STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062618",
            "telephone_number": "253-759-5437",
            "fax_number": "253-426-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 E FRONT ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624618",
            "telephone_number": "253-759-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELCH VANBIBBER HAUGHT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "OJEDA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "253-347-9917"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60282727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harbor Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.