NPIMap

Organization Active NPI

Family Dentistry, Joseph L. Ostheller DDS

  • General Practice Dentistry
  • Port Orchard, WA
National Provider Identifier
1487805305
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE8595 Issued in WA
Legal business name
FAMILY DENTISTRY, JOSEPH L. OSTHELLER DDS
Practice address
3280 SE Lund
#8
Port Orchard, WA 98366
Phone
(360) 874-6846
Fax
(360) 874-6853
NPI assigned
Oct 9, 2008
Last updated
Oct 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Lowell R Ostheller
Title
Manager
Phone
(360) 874-6846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE8595 WA Primary

Addresses

Primary practice location

3280 SE Lund
#8
Port Orchard, WA 98366

Mailing address

3280 SE Lund
#8
Port Orchard, WA 98366
Phone (360) 874-6846

Other identifiers 2

IdentifierTypeStateIssuer
5044342OtherWADSHS PROVIDER # FOR PERFORMING DR JOSEPH OSTHELLER
5032826OtherWACORE/GROUP PROVIDER #

National Provider Directory

National Provider Directory
Tax ID family
CK Family Dentitstry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3280 SE Lund Ave
Ste 8
Port Orchard, WA 98366
Phone (360) 874-6846

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1487805305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 SE LUND",
            "address_2": "#8",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98366",
            "telephone_number": "360-874-6846",
            "fax_number": "360-874-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 SE LUND",
            "address_2": "#8",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98366",
            "telephone_number": "360-874-6846",
            "fax_number": "360-874-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY, JOSEPH L. OSTHELLER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "OSTHELLER",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-874-6846"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE8595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS PROVIDER # FOR PERFORMING DR JOSEPH OSTHELLER",
            "identifier": "5044342",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORE/GROUP PROVIDER #",
            "identifier": "5032826",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.