Wanda E Palena, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00007668 Issued in WA

Practice address

2415 NE 134TH St
Suite 307
Vancouver, WA 98686-3025

Phone

(360) 567-3333

Fax

(360) 567-0728

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247443200000",
    "number": "1497816664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 NW 126TH STREET",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98685",
            "telephone_number": "360-574-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 NE 134TH ST",
            "address_2": "SUITE 307",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863025",
            "telephone_number": "360-567-3333",
            "fax_number": "360-567-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALENA",
        "first_name": "WANDA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2009-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Edward Pak
• Marcus Gabriel Palacios, M.ED
• Paladin Institute for Psychiatric Services
• McKayla Pauline Palasthira
• Lucero Janet Palayo Moreno, LMT
• Sydney Ann Pallesen, N.D.
• Elliot Isaac Palmer, M.D.
• Jonni Palmer, AAC
• Kelly Jean Palmer
• Neoma Palmer, DPT

• General Practice Dentistry in Vancouver, WA
• Providers in Vancouver, 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 Jul 13, 2009; 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.