Active NPI
Lubisich & Lubisich DMD PLLC
- Dentist
- Vancouver, WA
National Provider Identifier
1598295156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3764
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326260035 | Other | WA | NPI |
| 1912228073 | Other | WA | NPI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Dentistry
- Vancouver, WA
- NPI 1326260035
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.