NPIMap

Organization Active NPI

Brandon Rehrer DDS PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Vancouver, WA
National Provider Identifier
1689988545
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DE60129279 Issued in WA
Legal business name
BRANDON REHRER DDS PLLC
Practice address
3215 SE 192ND Ave Ste 112
Vancouver, WA 98683-1469
Phone
(360) 256-7100
Fax
(360) 256-8886
NPI assigned
Aug 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Dr. Brandon Scott Rehrer, DDSNPI 1942427828
Title
Oral Surgeon
Phone
(360) 256-7100

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DE60129279 WA Primary

Addresses

Primary practice location

3215 SE 192ND Ave Ste 112
Vancouver, WA 98683-1469

Mailing address

3215 SE 192ND Ave Ste 112
Vancouver, WA 98683-1469
Phone (360) 256-7100

Other names 1

  • Cascade Oral Surgery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1689988545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 SE 192ND AVE STE 112",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831469",
            "telephone_number": "360-256-7100",
            "fax_number": "360-256-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 SE 192ND AVE STE 112",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831469",
            "telephone_number": "360-256-7100",
            "fax_number": "360-256-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON REHRER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "REHRER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "360-256-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE60129279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Oral Surgery",
            "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 Aug 3, 2010; 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.