NPIMap

Organization Active NPI

R-K Holdings Inc

  • Denturist
  • Vancouver, WA
National Provider Identifier
1659484244
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DN00000290 Issued in WA
Legal business name
R-K HOLDINGS INC
Practice address
4804C NE Thurston Way
Vancouver, WA 98662
Phone
(360) 892-7060
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mr. Ronald Todd Johnson, DDNPI 1841605235
Title
Denturist
Phone
(360) 892-7060

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
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X DN00000290 WA Primary

Addresses

Primary practice location

4804C NE Thurston Way
Vancouver, WA 98662

Mailing address

4804C NE Thurston Way
Vancouver, WA 98662
Phone (360) 892-7060

Other identifiers 1

IdentifierTypeStateIssuer
5043955MedicaidWA

Other names 1

  • Vancouver Denture Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
R-K Holdings Inc2 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

4804 NE Thurston Way
Ste C
Vancouver, WA 98662
Phone (360) 892-7060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1659484244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804C NE THURSTON WAY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98662",
            "telephone_number": "360-892-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804C NE THURSTON WAY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98662",
            "telephone_number": "360-892-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R-K HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "DENTURIST",
        "authorized_official_telephone_number": "360-892-7060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DD"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN00000290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5043955",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vancouver Denture Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.