Organization Active NPI

Nadelhoffer & Cullen Dental PC

  • Dental Clinic/Center
  • White Salmon, WA
National Provider Identifier
1619481561
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D8897 Issued in OR
Legal business name
NADELHOFFER & CULLEN DENTAL PC
Practice address
640 N Main Ave
White Salmon, WA 98672-8751
Phone
(414) 241-8175
NPI assigned
Nov 29, 2017
Last updated
Nov 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Authorized official

Name
Evonne Nadelhoffer-Cullen, DDS
Title
Owner
Phone
(414) 241-8175

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D8897 OR Primary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X

Addresses

Primary practice location

640 N Main Ave
White Salmon, WA 98672-8751

Mailing address

2236 May St
Hood River, OR 97031-7721

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1619481561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 MAY ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970317721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N MAIN AVE",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986728751",
            "telephone_number": "414-241-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADELHOFFER & CULLEN DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "NADELHOFFER-CULLEN",
        "authorized_official_first_name": "EVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-241-8175",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D8897",
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Salmon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.