Organization Active NPI

Denture Design Studio, PLLC

  • Denturist
  • College Place, WA
National Provider Identifier
1699599324
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
Legal business name
DENTURE DESIGN STUDIO, PLLC
Practice address
1298 SE 12TH St
College Place, WA 99324-9727
Phone
(509) 529-1469
NPI assigned
Nov 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Joshua Daniel BrooksNPI 1699801480
Title
Owner
Phone
(509) 303-9090

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
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X Primary

Addresses

Primary practice location

1298 SE 12TH St
College Place, WA 99324-9727

Mailing address

7233 W Deschutes Ave Ste E
Kennewick, WA 99336-6707
Phone (509) 529-1469

National Provider Directory

National Provider Directory

Locations

1298 SE 12th St
College Place, WA 99324
Phone (509) 529-1469

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": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1699599324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 W DESCHUTES AVE STE E",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366707",
            "telephone_number": "509-529-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 SE 12TH ST",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993249727",
            "telephone_number": "509-529-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTURE DESIGN STUDIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-303-9090"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.