Organization Active NPI

K L Everett DDS PLLC

  • Dental Clinic/Center
  • Granite Falls, WA
National Provider Identifier
1548400187
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.