Organization Active NPI

Grant D. McClendon DMD PLLC

  • General Practice Dentistry
  • Bellingham, WA
National Provider Identifier
1508521394
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GRANT D. MCCLENDON DMD PLLC
Practice address
1118 Finnegan Way Ste 101
Bellingham, WA 98225-6656
Phone
(360) 676-0760
NPI assigned
Nov 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Dr. Grant McClendon, DMD
Title
Owner/Ceo
Phone
(801) 885-3207

Specialties & licenses 1

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

Addresses

Primary practice location

1118 Finnegan Way Ste 101
Bellingham, WA 98225-6656

Mailing address

1118 Finnegan Way Ste 101
Bellingham, WA 98225-6656
Phone (360) 676-0760

Other names 1

  • Bellingham Bay Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1508521394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 FINNEGAN WAY STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256656",
            "telephone_number": "360-676-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 FINNEGAN WAY STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256656",
            "telephone_number": "360-676-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT D. MCCLENDON DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "MCCLENDON",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "801-885-3207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellingham Bay Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.