NPIMap

Organization Active NPI

Cascade Family Dental Care

  • General Practice Dentistry
  • Lacey, WA
National Provider Identifier
1609194059
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00009476 Issued in WA
Legal business name
CASCADE FAMILY DENTAL CARE
Practice address
8765 Tallon LN NE
Suite I
Lacey, WA 98516-6654
Phone
(360) 456-1234
NPI assigned
May 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Authorized official

Name
Sridevi Vijayasekaran, DMD
Title
President
Phone
(360) 456-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00009476 WA Primary

Addresses

Primary practice location

8765 Tallon LN NE
Suite I
Lacey, WA 98516-6654

Mailing address

8765 Tallon LN NE
Suite I
Lacey, WA 98516-6654
Phone (360) 456-1234

National Provider Directory

National Provider Directory

Locations

8765 Tallon Ln NE
Ste I
Lacey, WA 98516
Phone (360) 456-1234

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1609194059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 TALLON LN NE",
            "address_2": "SUITE I",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166654",
            "telephone_number": "360-456-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 TALLON LN NE",
            "address_2": "SUITE I",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166654",
            "telephone_number": "360-456-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "VIJAYASEKARAN",
        "authorized_official_first_name": "SRIDEVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-456-1234",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.