Justin Vanbibber DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

DE60282727 Issued in WA

Legal business name

JUSTIN VANBIBBER DDS PC

Doing business as

Burien Children's Dentistry

Practice address

14411 Ambaum Blvd SW
Burien, WA 98166-1423

Phone

(206) 246-4559

NPI assigned

Apr 27, 2016

Last updated

Apr 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Vanbibber, DMD

Title

Owner

Phone

(253) 537-5437

Specialties & licenses 1

Addresses

Other names 1

• Burien Children's Dentistry Doing business as

Locations

Practitioners 1

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.

• Derek Zhao, DDS

  • Pediatric Dentistry
  • Burien, WA
  • NPI 1184283715

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1689029688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 72ND ST E",
            "address_2": "SUITE B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984041800",
            "telephone_number": "253-537-5437",
            "fax_number": "253-537-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 AMBAUM BLVD SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661423",
            "telephone_number": "206-246-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN VANBIBBER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "VANBIBBER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-537-5437",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60282727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burien Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Lee DMD PS
• Kailen Rain Judge, AU.D.
• Aniko Juhasz, RN, MPH
• Margit Lai Wun Juhasz, M.D.
• Just Care Mobile Health
• Kaiser Foundation Health Plan of Washington (Kaiser Permanente Burien Pharmacy)
• Kaiser Foundation Health Plan of Washington (Burien Medical Center)
• Thomas Jacob Kalina
• Daniel Kam, PT
• Kamal H Bajwa DDS PLLC (New Wave Dental Smiles)

• Dentist in Burien, WA
• Providers in Burien, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.