NPIMap

Organization Active NPI

DRS. Ottosen and Nygard, PLLC

  • Dental Clinic/Center
  • Moses Lake, WA
National Provider Identifier
1508316910
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
604-034-843 Issued in WA
Legal business name
DRS. OTTOSEN AND NYGARD, PLLC
Practice address
1001 W Broadway Ave
Moses Lake, WA 98837-2604
Phone
(509) 766-8968
Fax
(509) 766-8967
NPI assigned
Oct 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Stephen R. Ottosen, DDS, MSD
Title
Owner
Phone
(509) 664-6669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 604-034-843 WA Primary

Addresses

Primary practice location

1001 W Broadway Ave
Moses Lake, WA 98837-2604

Mailing address

1001 W Broadway Ave
Moses Lake, WA 98837-2604
Phone (509) 766-8968

National Provider Directory

National Provider Directory
Tax ID family
DRS Ottosen and Nygard PLLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1508316910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W BROADWAY AVE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372604",
            "telephone_number": "509-766-8968",
            "fax_number": "509-766-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W BROADWAY AVE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372604",
            "telephone_number": "509-766-8968",
            "fax_number": "509-766-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. OTTOSEN AND NYGARD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "OTTOSEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-664-6669",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "604-034-843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.