NPIMap

Organization Active NPI

Penttila Schroeder Maxfield,DDS, PS

Doing business as West Richland Family Dental Center

  • General Practice Dentistry
  • West Richland, WA
National Provider Identifier
1619915394
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PENTTILA SCHROEDER MAXFIELD,DDS, PS
Doing business as
West Richland Family Dental Center
Practice address
4476 W Van Giesen St
West Richland, WA 99353-5411
Phone
(509) 967-3421
Fax
(509) 967-2186
NPI assigned
Jun 3, 2006
Last updated
Aug 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Mr. Wayne Fletcher Penttila, DDSNPI 1326086034
Title
Manager/Owner
Phone
(509) 967-3421

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

4476 W Van Giesen St
West Richland, WA 99353-5411

Mailing address

4476 W Van Giesen St
West Richland, WA 99353-5411
Phone (509) 967-3421

Other names 1

  • West Richland Family Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

4476 W Van Giesen St
West Richland, WA 99353
Phone (509) 967-3421

Practitioners & affiliated clinicians

Practitioners 11

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1619915394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4476 W VAN GIESEN ST",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993535411",
            "telephone_number": "509-967-3421",
            "fax_number": "509-967-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4476 W VAN GIESEN ST",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993535411",
            "telephone_number": "509-967-3421",
            "fax_number": "509-967-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENTTILA SCHROEDER MAXFIELD,DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "PENTTILA",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "FLETCHER",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "509-967-3421",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Richland Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.