DRS. Ottosen and Nygard, PLLC

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

Last updated

Oct 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen R. Ottosen, DDS, MSDNPI 1649495078

Title

Owner

Phone

(509) 664-6669

Specialties & licenses 1

Addresses

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.

• DRS. Ottosen and Nygard, PLLC

  • Dental Clinic/Center
  • Wenatchee, WA
  • NPI 1023566221
  NPD tax ID

Practitioners 1

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.

• Stephen R. Ottosen, D.D.S., M.S.D.

  • Endodontics
  • Wenatchee, WA
  • NPI 1649495078
  Authorized official Same address or phone

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": []
}

• Stacey Jo Dowton, L.M.P
• Dr. David Earl, MD Inc. PS
• Patrick Drapeau
• Roberta Fah Dresser, LMP
• Todd D Dressler, RN-BSN
• Jill A Dudik Bross, MD
• Andrew Corey Duncan, D.D.S.
• Mark L Duvall, PHARMD
• Olha Dyakova
• E & H Holdings, LLC (New Start Clinics)

• Dental Clinic/Center in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Dental Clinic/Center in Washington

• 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.