Organization Active NPI

Tiffany Bass, DDS, PLLC

  • Dental Clinic/Center
  • Dupont, WA
National Provider Identifier
1548979743
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TIFFANY BASS, DDS, PLLC
Practice address
1100 Station Dr Ste 221
Dupont, WA 98327-9777
Phone
(253) 912-4443
Fax
(253) 912-4426
NPI assigned
Nov 16, 2022
Organization subpart
Yes
Parent organization
TIFFANY BASS, DDS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Tiffany Bass, DDS
Title
Dentis
Phone
(253) 912-4443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1100 Station Dr Ste 221
Dupont, WA 98327-9777

Mailing address

1100 Station Dr Ste 221
Dupont, WA 98327-9777
Phone (253) 912-4443

Other names 1

  • DuPont Dental Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@dupontdentalservices.com

National Provider Directory

National Provider Directory
Part of
Tiffany Bass DDS PLLC

Locations

1100 Station Dr
Ste 221
DuPont, WA 98327
Phone (253) 912-4433

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1548979743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 STATION DR STE 221",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983279777",
            "telephone_number": "253-912-4443",
            "fax_number": "253-912-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 STATION DR STE 221",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983279777",
            "telephone_number": "253-912-4443",
            "fax_number": "253-912-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY BASS, DDS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIFFANY BASS, DDS, PLLC",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "DENTIS",
        "authorized_official_telephone_number": "253-912-4443",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@dupontdentalservices.com",
            "affiliation": "N",
            "address_1": "1100 Station Dr Ste 221",
            "city": "DuPont",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983279777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DuPont Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dupont, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.