Organization Active NPI

G Schnepper DDS Ms PLLC

Doing business as The Modern Orthodontist

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vancouver, WA
National Provider Identifier
1598417669
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
G SCHNEPPER DDS MS PLLC
Doing business as
The Modern Orthodontist
Practice address
2702 NE 78TH St Ste 106
Vancouver, WA 98665-0664
Phone
(360) 260-5113
Fax
(360) 567-2447
NPI assigned
Jan 20, 2022
Last updated
Jan 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Levon Brown
Title
Financial Coordinator
Phone
(360) 260-5113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

2702 NE 78TH St Ste 106
Vancouver, WA 98665-0664

Mailing address

2702 NE 78TH St Ste 106
Vancouver, WA 98665-0664
Phone (360) 260-5113

Other identifiers 2

IdentifierTypeStateIssuer
DE00010490OtherWADENTAL LICENSE
1548324973OtherNPI

Other names 1

  • The Modern Orthodontist Doing business as

National Provider Directory

National Provider Directory

Locations

2702 NE 78th St
Ste 106
Vancouver, WA 98665
Phone (360) 260-5113

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1598417669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 NE 78TH ST STE 106",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650664",
            "telephone_number": "360-260-5113",
            "fax_number": "360-567-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 NE 78TH ST STE 106",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650664",
            "telephone_number": "360-260-5113",
            "fax_number": "360-567-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G SCHNEPPER DDS MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LEVON",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "360-260-5113"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DE00010490",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548324973",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Modern Orthodontist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 20, 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.