Sequim Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

5445 Issued in WA

Legal business name

SEQUIM FAMILY DENTISTRY

Practice address

321 N Sequim Ave # B
Sequim, WA 98382-3457

Phone

(360) 681-8884

NPI assigned

Aug 11, 2016

Organization subpart

No

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

Authorized official

Name

Heidi Johnson

Title

Practice Administrator

Phone

(360) 681-8884

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Nathan Eugene Gelder, D.M.D.

  • General Practice Dentistry
  • Sequim, WA
  • NPI 1952398661
  NPD (past)
• Brian L Juel, D.D.S.

  • General Practice Dentistry
  • Sequim, WA
  • NPI 1144212804
  NPD (past)

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1538613112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3430",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983825028",
            "telephone_number": "360-681-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N SEQUIM AVE # B",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823457",
            "telephone_number": "360-681-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUIM FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "360-681-8884"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "5445",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "10482",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1144212804",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1952398661",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sequim Al, LLC
• Sequim Chiropractic and Wellness
• Sequim Chiropractic Clinic, PC
• Sequim Counseling LLC (Get Better Counseling)
• Sequim Family Chiropractic Center
• Sequim Health and Chiropractic LLC
• Sequim Health, LLC (Sequim Health & Rehabilitation)
• Sequim Health, LLC (Sequim Health & Rehabilitation Center)
• Sequim Medical Associates, PLLP
• Sequim of Cascadia, LLC

• Dentist in Sequim, WA
• Providers in Sequim, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.