Im Professional Services PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

IM PROFESSIONAL SERVICES PLLC

Practice address

1040 NE Hostmark St Ste 100a
Poulsbo, WA 98370-7337

Phone

(360) 779-4556

NPI assigned

May 5, 2023

Last updated

May 10, 2023By 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

Patrick Im, DDS

Title

Owner

Phone

(360) 779-4556

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1528757432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 NE HOSTMARK ST",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707337",
            "telephone_number": "360-779-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 NE HOSTMARK ST STE 100A",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707337",
            "telephone_number": "360-779-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IM PROFESSIONAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "IM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-779-4556",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron Hunter, NCSP
• Sharman K Hurlow, MD
• Heidi Lilia Hutchinson, MD
• Ikinya LLC (Ikinya Pharmacy)
• Im Professional Services LLC (Kitsap Sleep & TMJ Center)
• Simone A Ince, MD
• Inhealth Imaging, LLC
• Jackie Snapp, DDS, PLLC
• John Douglas Jaco, LICSW
• Lea Renae Jacobson, MPT

• Dental Clinic/Center in Poulsbo, WA
• Providers in Poulsbo, 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 May 10, 2023; 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.