Organization Active NPI

Lubisich & Lubisich DMD PLLC

  • Dentist
  • Vancouver, WA
National Provider Identifier
1598295156
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3764 Issued in WA
Legal business name
LUBISICH & LUBISICH DMD PLLC
Practice address
805 NE 98TH Cir Ste 100
Vancouver, WA 98665-9134
Phone
(360) 907-3849
Fax
(360) 882-8080
NPI assigned
Jun 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Josef William Lubisich, D.M.D., M.S.NPI 1326260035
Title
Dentist
Phone
(360) 694-9337

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 3764 WA Primary

Addresses

Primary practice location

805 NE 98TH Cir Ste 100
Vancouver, WA 98665-9134

Mailing address

805 NE 98TH Cir Ste 100
Vancouver, WA 98665-9134
Phone (360) 907-3849

Other identifiers 2

IdentifierTypeStateIssuer
1326260035OtherWANPI
1912228073OtherWANPI

National Provider Directory

National Provider Directory

Locations

805 NE 98th Cir
Ste 100
Vancouver, WA 98665
Phone (360) 907-3849

Practitioners & affiliated clinicians

Practitioners 1

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": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598295156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 NE 98TH CIR STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986659134",
            "telephone_number": "360-907-3849",
            "fax_number": "360-882-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 NE 98TH CIR STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986659134",
            "telephone_number": "360-907-3849",
            "fax_number": "360-882-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBISICH & LUBISICH DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LUBISICH",
        "authorized_official_first_name": "JOSEF",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-694-9337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "3764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326260035",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912228073",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.