Organization Active NPI

Collette and Hamilton DDS PLLC

  • Pediatric Dentistry
  • Richland, WA
National Provider Identifier
1487949079
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE00011196 Issued in WA
Legal business name
COLLETTE AND HAMILTON DDS PLLC
Practice address
2671 Queensgate Dr
Richland, WA 99352-9103
Phone
(509) 585-5437
Fax
(509) 585-5438
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Dr. David Nelson Hamilton, DDS
Title
Owner Dentistry for Kids Richland
Phone
(509) 585-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DE00011196 WA Primary

Addresses

Primary practice location

2671 Queensgate Dr
Richland, WA 99352-9103

Mailing address

3911 W 27TH Ave
Suite 105
Kennewick, WA 99337-2483
Phone (509) 585-5437

Other identifiers 1

IdentifierTypeStateIssuer
603-117-339OtherWASEC OF STATE UBI

Other names 1

  • Dentistry for Kids of Richland Doing business as

National Provider Directory

National Provider Directory

Locations

2671 Queensgate Dr
Richland, WA 99352
Phone (509) 585-5437

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1487949079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 W 27TH AVE",
            "address_2": "SUITE 105",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993372483",
            "telephone_number": "509-585-5437",
            "fax_number": "509-585-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 QUEENSGATE DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529103",
            "telephone_number": "509-585-5437",
            "fax_number": "509-585-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLETTE AND HAMILTON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "OWNER DENTISTRY FOR KIDS RICHLAND",
        "authorized_official_telephone_number": "509-585-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00011196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SEC OF STATE UBI",
            "identifier": "603-117-339",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry for Kids of Richland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.