Snoqualmie Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00006388 Issued in WA

Legal business name

SNOQUALMIE FAMILY DENTISTRY

Practice address

38475 SE River Street
Snoqualmie, WA 98065

Phone

(425) 888-2684

Fax

(425) 831-2119

NPI assigned

Aug 28, 2016

Last updated

Aug 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter J Ristuben, DDS

Title

Owner/Dentist

Phone

(425) 888-2684

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Anna Lee, DDS

  • General Practice Dentistry
  • Snoqualmie, WA
  • NPI 1548368616
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1548716830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1974",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980651974",
            "telephone_number": "425-888-2684",
            "fax_number": "425-831-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38475 SE RIVER STREET",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "98065",
            "telephone_number": "425-888-2684",
            "fax_number": "425-831-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOQUALMIE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "RISTUBEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "425-888-2684",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00006388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Silver, OTR/L
• Trina Annett Simon
• John C Sindorf, MD
• Samantha Julia Sine, ARNP
• Stephanie Smith
• Snoqualmie Indian Tribe
• Snoqualmie Ridge Chiropractic, PLLC
• Snoqualmie Ridge Physical Therapy, P.S. (Peak Sports and Spine Physical Therapy)
• Snoqualmie Valley School District
• Grace Snyder, PT, DPT

• Dental Clinic/Center in Snoqualmie, WA
• Providers in Snoqualmie, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.