NPIMap

Organization Active NPI

New Smile Denture, Inc.

  • Denturist
  • Shelton, WA
National Provider Identifier
1609122183
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DN60186881 Issued in WA
Legal business name
NEW SMILE DENTURE, INC.
Practice address
114 W. Alder Street
Shelton, WA 98584
Phone
(360) 426-8800
NPI assigned
Aug 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Ms. Alexandra GarlandNPI 1992056634
Title
Owner/Director
Phone
(360) 426-8800

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
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X DN60186881 WA Primary

Addresses

Primary practice location

114 W. Alder Street
Shelton, WA 98584

Mailing address

PO Box 1669
Hoodsport, WA 98548
Phone (360) 426-8800

Other names 1

  • New Smile Denture Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

114 W Alder St
Shelton, WA 98584
Phone (360) 426-8800

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": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1609122183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1669",
            "city": "HOODSPORT",
            "state": "WA",
            "postal_code": "98548",
            "telephone_number": "360-426-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W. ALDER STREET",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "98584",
            "telephone_number": "360-426-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SMILE DENTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "GARLAND",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "360-426-8800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN60186881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Smile Denture Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.