Active NPI
K L Everett DDS PLLC
- Dental Clinic/Center
- Granite Falls, WA
National Provider Identifier
1548400187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- K L EVERETT DDS PLLC
- Doing business as
- Granite Falls Dental Care
- Practice address
- 207 E Stanley St Suite B
Granite Falls, WA 98252 - Phone
- (360) 691-4100
- Fax
- (360) 691-6300
- NPI assigned
- Feb 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karen Everett, D.D.S.
- Title
- Owner Dentist
- Phone
- (360) 691-4100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
207 E Stanley St Suite B
Granite Falls, WA 98252
Mailing address
207 E Stanley St Suite B
Granite Falls, WA 98252
Phone (360) 691-4100
Other names 1
- Granite Falls Dental Care
National Provider Directory
National Provider DirectoryLocations
207 E Stanley St
#B
Granite Falls, WA 98252
Phone (360) 691-4100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1548400187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 E STANLEY ST SUITE B",
"city": "GRANITE FALLS",
"state": "WA",
"postal_code": "98252",
"telephone_number": "360-691-4100",
"fax_number": "360-691-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 E STANLEY ST SUITE B",
"city": "GRANITE FALLS",
"state": "WA",
"postal_code": "98252",
"telephone_number": "360-691-4100",
"fax_number": "360-691-6300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K L EVERETT DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-23",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "EVERETT",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "360-691-4100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Granite Falls Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Granite Falls, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.