NPIMap

Organization Active NPI

Ojh Clinic #4 Inc

Doing business as Smokey Point Family Dentistry

  • Dentist
  • Arlington, WA
National Provider Identifier
1710052527
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5262 Issued in WA
Legal business name
OJH CLINIC #4 INC
Doing business as
Smokey Point Family Dentistry
Practice address
3533 172ND St NE
BLDG B
Arlington, WA 98223
Phone
(360) 658-3000
Fax
(360) 653-1560
NPI assigned
Nov 21, 2006
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 J Hanssen
Title
Pres Owner
Phone
(360) 658-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 5262 WA Primary

Addresses

Primary practice location

3533 172ND St NE
BLDG B
Arlington, WA 98223

Mailing address

3533 172ND St NE
BLDG B
Arlington, WA 98223
Phone (360) 658-3000

Other names 1

  • SMOKEY POINT FAMILY DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

3533 172nd St NE
#B
Arlington, WA 98223
Phone (360) 658-3000

Practitioners & affiliated clinicians

Practitioners 4

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710052527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 172ND ST NE",
            "address_2": "BLDG B",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "98223",
            "telephone_number": "360-658-3000",
            "fax_number": "360-653-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 172ND ST NE",
            "address_2": "BLDG B",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "98223",
            "telephone_number": "360-658-3000",
            "fax_number": "360-653-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OJH CLINIC #4 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSSEN",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES OWNER",
        "authorized_official_telephone_number": "360-658-3000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "5262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMOKEY POINT FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, 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.