10X10 LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00010627 Issued in WA

Legal business name

10X10 LLC

Doing business as

The Tooth Ferry

Practice address

305 Blair Ave
Friday Harbor, WA 98250-8076

Phone

(360) 378-5300

NPI assigned

May 17, 2016

Last updated

May 17, 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

Scott Reynolds

Title

Secretary

Phone

(360) 378-5300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Tooth Ferry Doing business as

Locations

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1588011795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BLAIR AVE",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982508076",
            "telephone_number": "360-378-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BLAIR AVE",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982508076",
            "telephone_number": "360-378-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "10X10 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "360-378-5300"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00010627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5053293",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Tooth Ferry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A & H Stores, Inc. (Friday Harbor Drug)
• Allied Counseling Services
• Melissa Joanne Alspaugh, B.S., M.SC
• Ancora Health, LLC (Ancora Clinics)
• Mary Askew, LMP

• Dental Clinic/Center in Friday Harbor, WA
• Providers in Friday Harbor, 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 May 17, 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.