NPIMap

Organization Active NPI

Country Ridge Family Dental PLLC

  • Dental Clinic/Center
  • Kennewick, WA
National Provider Identifier
1679733174
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00010238 Issued in WA
Legal business name
COUNTRY RIDGE FAMILY DENTAL PLLC
Practice address
7233 W Deschutes Ave
Suite E
Kennewick, WA 99336-6707
Phone
(509) 374-4077
Fax
(509) 374-2737
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Craig Kent Barney, DMD
Title
Member
Phone
(509) 374-4077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE00010238 WA Primary

Addresses

Primary practice location

7233 W Deschutes Ave
Suite E
Kennewick, WA 99336-6707

Mailing address

7233 W Deschutes Ave
Suite E
Kennewick, WA 99336
Phone (509) 374-4077

Other names 1

  • Tailor Made Smiles Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1679733174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 W DESCHUTES AVE",
            "address_2": "SUITE E",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-374-4077",
            "fax_number": "509-374-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7233 W DESCHUTES AVE",
            "address_2": "SUITE E",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366707",
            "telephone_number": "509-374-4077",
            "fax_number": "509-374-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY RIDGE FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "BARNEY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "509-374-4077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00010238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tailor Made Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.