Organization Active NPI

Vancouver Endodontic Specialists PC Inc.

Doing business as Cascade Endodontic Group

  • Endodontics
  • Vancouver, WA
National Provider Identifier
1538434139
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
8567 Issued in WA
Legal business name
VANCOUVER ENDODONTIC SPECIALISTS PC INC.
Doing business as
Cascade Endodontic Group
Practice address
601 SE 117TH Ave
Suite 110
Vancouver, WA 98683-5297
Phone
(360) 334-4400
Fax
(360) 883-0468
NPI assigned
Mar 14, 2012
Last updated
Mar 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Dr. John Kevin Schow, D.M.D
Title
President
Phone
(360) 334-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 8567 WA Primary

Addresses

Primary practice location

601 SE 117TH Ave
Suite 110
Vancouver, WA 98683-5297

Mailing address

601 SE 117TH Ave
Suite 110
Vancouver, WA 98683-5297
Phone (360) 334-4400

Other names 1

  • Cascade Endodontic Group Doing business as

National Provider Directory

National Provider Directory

Locations

601 SE 117th Ave
Ste 110
Vancouver, WA 98683
Phone (360) 334-4400

Practitioners & affiliated clinicians

Practitioners 3

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": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1538434139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SE 117TH AVE",
            "address_2": "SUITE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835297",
            "telephone_number": "360-334-4400",
            "fax_number": "360-883-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SE 117TH AVE",
            "address_2": "SUITE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835297",
            "telephone_number": "360-334-4400",
            "fax_number": "360-883-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER ENDODONTIC SPECIALISTS PC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "SCHOW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-334-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "8567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Endodontic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.