Hardie Dentistry for Kids

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE00008741 Issued in WA

Legal business name

HARDIE DENTISTRY FOR KIDS

Practice address

925 NE 136TH Ave
Suite 101
Vancouver, WA 98684-0896

Phone

(360) 694-5559

Fax

(360) 694-5557

NPI assigned

Jun 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Willie M Hardie, DDSNPI 1093891533

Title

Pediatric Dentist/ Owner

Phone

(360) 241-4361

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Willie M Hardie, DDS

  • Pediatric Dentistry
  • Vancouver, WA
  • NPI 1093891533
  NPD (past) Authorized official

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1538480215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 NE 4TH ST",
            "address_2": "APT 58",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845051",
            "telephone_number": "360-241-4361",
            "fax_number": "360-964-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 NE 136TH AVE",
            "address_2": "SUITE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986840896",
            "telephone_number": "360-694-5559",
            "fax_number": "360-694-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDIE DENTISTRY FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "HARDIE",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/ OWNER",
        "authorized_official_telephone_number": "360-241-4361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00008741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hunter Harbert
• Alyson Theresa Harbick
• Sarah D Harbin, INTERN FOR MASTER'S
• Samantha Mae Hardesty, L.M.P.
• Steven D Hardgrove
• Willie M Hardie, DDS
• Jason Harding
• Kelsey Harding, MD
• Susan Elaine Harding, LMP
• Catie Hardman, B.A.

• Pediatric Dentistry in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.