Organization Active NPI

Devin Dickinson DDS PLLC

  • General Practice Dentistry
  • Arlington, WA
National Provider Identifier
1669920971
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60372263 Issued in WA
Legal business name
DEVIN DICKINSON DDS PLLC
Practice address
302 E Division St
Arlington, WA 98223-1292
Phone
(360) 435-3661
NPI assigned
Sep 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
Devin Dickinson, DDS
Title
Onwer/Dentist
Phone
(360) 435-3661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE60372263 WA Primary

Addresses

Primary practice location

302 E Division St
Arlington, WA 98223-1292

Mailing address

302 E Division St
Arlington, WA 98223-1292
Phone (360) 435-3661

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1669920971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E DIVISION ST",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231292",
            "telephone_number": "360-435-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E DIVISION ST",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231292",
            "telephone_number": "360-435-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVIN DICKINSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "ONWER/DENTIST",
        "authorized_official_telephone_number": "360-435-3661",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60372263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

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