Bobby Virk DMD & Helena Skountrianos DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BOBBY VIRK DMD & HELENA SKOUNTRIANOS DDS, PLLC

Practice address

21240 Sr 410 E
Bonney Lake, WA 98391-8458

Phone

(253) 336-0244

NPI assigned

Feb 22, 2021

Organization subpart

No

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

Authorized official

Name

Jessica Grisham

Title

Insurance Manager

Phone

(253) 845-6784

Specialties & licenses 1

Addresses

Other names 1

• Dentistry@ Bonney Lake Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Helena Stacey Skountrianos, DMD.,MS, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Puyallup, WA
  • NPI 1609907963
  NPD (past)

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1548854409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10317 122ND ST E STE B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742632",
            "telephone_number": "844-726-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21240 SR 410 E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918458",
            "telephone_number": "253-336-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY VIRK DMD & HELENA SKOUNTRIANOS DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "GRISHAM",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "253-845-6784"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "insurance@mynovelsmile.com",
            "affiliation": "N",
            "address_1": "21240 SR 410 E",
            "city": "Bonney Lake",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983918458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dentistry@ Bonney Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.