Active NPI
Dallas Easter
- Dentist
- Toppenish, WA
National Provider Identifier
1699163501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60472972
- Practice address
- 510 W 1St Ave
Toppenish, WA 98948-1564 - Phone
- (509) 865-5600
- Fax
- (509) 865-5783
- NPI assigned
- Dec 30, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | DE60472972 | WA | |
| Dentist | 122300000X | DE60472972 | WA | Primary |
Addresses
Primary practice location
510 W 1St Ave
Toppenish, WA 98948-1564
Mailing address
510 W 1St Ave
Toppenish, WA 98948-1564
Phone (509) 865-5600
Other practice location 1
12 S 8th St
Yakima, WA 98901-3020
Phone (509) 574-5562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230612002959 | WA | Order and Referring Only - Dentist | 7315242369 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- deaster41296@yvfwc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1699163501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 W 1ST AVE",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989481564",
"telephone_number": "509-865-5600",
"fax_number": "509-865-5783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 W 1ST AVE",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989481564",
"telephone_number": "509-865-5600",
"fax_number": "509-865-5783"
}
],
"practiceLocations": [
{
"address_1": "12 S 8th St",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989013020",
"country_code": "US",
"telephone_number": "509-574-5562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EASTER",
"first_name": "DALLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-30",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "WA",
"license": "DE60472972",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60472972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toppenish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.