NPIMap

Organization Active NPI

Daniel E. Wilson, DMD PC

Doing business as Cascade Dental

  • General Practice Dentistry
  • Vancouver, WA
National Provider Identifier
1669973160
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00009284 Issued in WA
Legal business name
DANIEL E. WILSON, DMD PC
Doing business as
Cascade Dental
Practice address
16703 SE McGillivray Blvd Ste 100
Vancouver, WA 98683-3418
Phone
(360) 892-2994
Fax
(360) 892-3929
NPI assigned
Feb 21, 2018
Last updated
Feb 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Dr. Daniel Edwin Wilson, DMDNPI 1992820328
Title
President/Owner
Phone
(360) 314-8723

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00009284 WA Primary
General Practice Dentistry 1223G0001X D7955 OR

Addresses

Primary practice location

16703 SE McGillivray Blvd Ste 100
Vancouver, WA 98683-3418

Mailing address

16703 SE McGillivray Blvd Ste 100
Vancouver, WA 98683-3418
Phone (360) 892-2994

Other names 1

  • CASCADE DENTAL Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1669973160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16703 SE MCGILLIVRAY BLVD STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833418",
            "telephone_number": "360-892-2994",
            "fax_number": "360-892-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16703 SE MCGILLIVRAY BLVD STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833418",
            "telephone_number": "360-892-2994",
            "fax_number": "360-892-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL E. WILSON, DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "360-314-8723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009284",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CASCADE DENTAL",
            "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 Feb 21, 2018; 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.