NPIMap

Organization Active NPI

Elperin DDS, PLLC

Doing business as Sunrise Dental of Ellensburg

  • General Practice Dentistry
  • Ellensburg, WA
National Provider Identifier
1609221068
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60169589 Issued in WA
Legal business name
ELPERIN DDS, PLLC
Doing business as
Sunrise Dental of Ellensburg
Practice address
306 S Main St
Suite 1
Ellensburg, WA 98926-3608
Phone
(509) 925-3160
Fax
(509) 232-7181
NPI assigned
May 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Miss Melissa Inez Costi
Title
Manager
Phone
(509) 925-3160

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DE60169589 WA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DE60512243 WA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DE60559041 WA

Addresses

Primary practice location

306 S Main St
Suite 1
Ellensburg, WA 98926-3608

Mailing address

306 South Main Street
Suite 1
Ellensburg, WA 98926
Phone (509) 925-3160

Other names 1

  • Sunrise Dental of Ellensburg Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elperin DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

306 S Main St
Ste 1
Ellensburg, WA 98926
Phone (509) 925-3160

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1609221068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 SOUTH MAIN STREET",
            "address_2": "SUITE 1",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "98926",
            "telephone_number": "509-925-3160",
            "fax_number": "509-232-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263608",
            "telephone_number": "509-925-3160",
            "fax_number": "509-232-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELPERIN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "COSTI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "INEZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-925-3160",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60169589",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60512243",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60559041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Dental of Ellensburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.