Organization Active NPI

Adam P Cramer PLLC

Doing business as Olympic Family Dental

  • Dental Clinic/Center
  • Aberdeen, WA
National Provider Identifier
1528623709
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.