Harbor Kids Dental & Orthodontics of Tacoma PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60282727 Issued in WA

Legal business name

HARBOR KIDS DENTAL & ORTHODONTICS OF TACOMA PC

Practice address

4002 S M St
Tacoma, WA 98418-3800

Phone

(253) 474-0606

Fax

(253) 537-5438

NPI assigned

Jan 15, 2016

Organization subpart

No

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

Authorized official

Name

Justin L Vanbibber, DMD

Title

Owner

Phone

(253) 537-5437

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1639536097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 S M ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984183800",
            "telephone_number": "253-474-0606",
            "fax_number": "253-537-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 S M ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984183800",
            "telephone_number": "253-474-0606",
            "fax_number": "253-537-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR KIDS DENTAL & ORTHODONTICS OF TACOMA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "VANBIBBER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-537-5437",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60282727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DE60282727",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Haque
• Kyra Harames
• Colleen Marie Harb, OTR/L
• Stacie Harber, AUD
• Harbor Home Therapy & Wellness LLC
• Lisa M Hardebeck, PH.D.
• Huong Harden
• Sierra Judith-Marie Harden
• Ellen Marie Hardin, MD
• Madisyn Kamele Harding, DDS

• General Practice Dentistry in Tacoma, WA
• Providers in Tacoma, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.