Active NPI
Adam P Cramer PLLC
Doing business as Olympic Family Dental
- Dental Clinic/Center
- Aberdeen, WA
National Provider Identifier
1528623709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- ADAM P CRAMER PLLC
- Doing business as
- Olympic Family Dental
- Practice address
- 104 W 4TH St
Aberdeen, WA 98520-3932 - Phone
- (360) 532-7512
- NPI assigned
- May 3, 2019
- Last updated
- Jun 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Traci Lynn Roland
- Title
- Operations Manager
- Phone
- (253) 640-5793
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
104 W 4TH St
Aberdeen, WA 98520-3932
Mailing address
2407 Pacific Ave SE Ste B
Olympia, WA 98501-8806
Phone (253) 640-5793
Other names 1
- Olympic Family Dental
National Provider Directory
National Provider DirectoryLocations
104 W 4th St
Aberdeen, WA 98520
Phone (360) 532-7512
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Dentist
- Aberdeen, WA
- NPI 1124767967
-
- Dentist
- Aberdeen, WA
- NPI 1154973238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1528623709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2407 PACIFIC AVE SE STE B",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985018806",
"telephone_number": "253-640-5793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W 4TH ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985203932",
"telephone_number": "360-532-7512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAM P CRAMER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-03",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "ROLAND",
"authorized_official_first_name": "TRACI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "253-640-5793",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Olympic Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.