NPIMap

Organization Active NPI

Quinault Indian Nation

Doing business as Quinault Wellness Center

  • General Practice Dentistry
  • Aberdeen, WA
National Provider Identifier
1619719770
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
QUINAULT INDIAN NATION
Doing business as
Quinault Wellness Center
Practice address
511 W Heron St
Aberdeen, WA 98520-6022
Phone
(564) 544-1950
Fax
(564) 544-1928
NPI assigned
Jun 10, 2024
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jason G Halstead, COONPI 1447937719
Title
Chief Operations Officer
Phone
(564) 544-1930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

511 W Heron St
Aberdeen, WA 98520-6022

Mailing address

511 W Heron St
Aberdeen, WA 98520-6022
Phone (564) 544-1950

Other names 1

  • Quinault Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Quinault Indian Nation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1619719770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W HERON ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206022",
            "telephone_number": "564-544-1950",
            "fax_number": "564-544-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W HERON ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206022",
            "telephone_number": "564-544-1950",
            "fax_number": "564-544-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINAULT INDIAN NATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HALSTEAD",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "564-544-1930",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quinault Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.