NPIMap

Organization Active NPI

Ojh Clinic #6 Inc.

Doing business as Bonney Lake Family Dental Care

  • General Practice Dentistry
  • Bonney Lake, WA
National Provider Identifier
1699820019
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
OJH CLINIC #6 INC.
Doing business as
Bonney Lake Family Dental Care
Practice address
21515 State Route 410 E
Suite a
Bonney Lake, WA 98391-4100
Phone
(253) 826-9000
Fax
(253) 826-0328
NPI assigned
Jan 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Otto Julius Hanssen, D.D.S.NPI 1043365935
Title
President
Phone
(253) 826-9000

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
General Practice Dentistry 1223G0001X WA Primary

Addresses

Primary practice location

21515 State Route 410 E
Suite a
Bonney Lake, WA 98391-4100

Mailing address

21515 State Route 410 E
Suite a
Bonney Lake, WA 98391-4100
Phone (253) 826-9000

Other names 1

  • Bonney Lake Family Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699820019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21515 STATE ROUTE 410 E",
            "address_2": "SUITE A",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983914100",
            "telephone_number": "253-826-9000",
            "fax_number": "253-826-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21515 STATE ROUTE 410 E",
            "address_2": "SUITE A",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983914100",
            "telephone_number": "253-826-9000",
            "fax_number": "253-826-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OJH CLINIC #6 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSSEN",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "JULIUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-826-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonney Lake Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.