NPIMap

Organization Active NPI

Northwest Dental Health Care

  • Dentist
  • Bremerton, WA
National Provider Identifier
1679726145
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4888 Issued in WA
Legal business name
NORTHWEST DENTAL HEALTH CARE
Practice address
629 NE Riddell Rd
Suite B
Bremerton, WA 98310-3023
Phone
(360) 479-1500
Fax
(360) 479-0800
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Mr. Peter A Ruff, DDSNPI 1225150246
Title
Dentist
Phone
(360) 479-1500

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4888 WA Primary

Addresses

Primary practice location

629 NE Riddell Rd
Suite B
Bremerton, WA 98310-3023

Mailing address

629 NE Riddell Rd
Suite B
Bremerton, WA 98310-3023
Phone (360) 479-1500

National Provider Directory

National Provider Directory

Locations

629 NE Riddell Rd
Ste B
Bremerton, WA 98310
Phone (360) 479-1500

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": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1679726145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 NE RIDDELL RD",
            "address_2": "SUITE B",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103023",
            "telephone_number": "360-479-1500",
            "fax_number": "360-479-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 NE RIDDELL RD",
            "address_2": "SUITE B",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103023",
            "telephone_number": "360-479-1500",
            "fax_number": "360-479-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DENTAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "RUFF",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-479-1500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "4888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.