Active NPI
Andrew M Nalin, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Mount Vernon, WA
National Provider Identifier
1720077142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DE00008435
- Practice address
- 2210 Kulshan View Dr
Suite 108
Mount Vernon, WA 98273-2779 - Phone
- (360) 428-4979
- Fax
- (360) 848-5994
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DE00008435 | WA | Primary |
Addresses
Primary practice location
2210 Kulshan View Dr
Suite 108
Mount Vernon, WA 98273-2779
Mailing address
2210 Kulshan View Dr
Suite 108
Mount Vernon, WA 98273-2779
Phone (360) 428-4979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00008435 | WA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew M. Nalin, DDS, PS | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
2210 Kulshan View Dr
Ste 108
Mount Vernon, WA 98273
Phone (360) 428-4979
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Mount Vernon, WA
- NPI 1861331019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1720077142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 KULSHAN VIEW DR",
"address_2": "SUITE 108",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982732779",
"telephone_number": "360-428-4979",
"fax_number": "360-848-5994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 KULSHAN VIEW DR",
"address_2": "SUITE 108",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982732779",
"telephone_number": "360-428-4979",
"fax_number": "360-848-5994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NALIN",
"first_name": "ANDREW",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WA",
"license": "DE00008435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.