NPIMap

Organization Active NPI

Othello Dental Arts Clinic, P.S.

  • General Practice Dentistry
  • Othello, WA
National Provider Identifier
1568530509
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OTHELLO DENTAL ARTS CLINIC, P.S.
Practice address
1355 E Hemlock St
Othello, WA 99344-1576
Phone
(509) 488-5216
Fax
(509) 488-9496
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Christopher Ernest Dorow, D.D.S.NPI 1275601221
Title
Owner Dentist
Phone
(509) 488-5216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1355 E Hemlock St
Othello, WA 99344-1576

Mailing address

1355 E Hemlock St
Othello, WA 99344-1576
Phone (509) 488-5216

National Provider Directory

National Provider Directory

Locations

1355 E Hemlock St
Othello, WA 99344
Phone (509) 488-5216

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568530509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 E HEMLOCK ST",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "993441576",
            "telephone_number": "509-488-5216",
            "fax_number": "509-488-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 E HEMLOCK ST",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "993441576",
            "telephone_number": "509-488-5216",
            "fax_number": "509-488-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTHELLO DENTAL ARTS CLINIC, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOROW",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "509-488-5216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Othello, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.