Active NPI
Newport Dental
- Dental Clinic/Center
- Newport, WA
National Provider Identifier
1720535297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 5239
- Legal business name
- NEWPORT DENTAL
- Practice address
- 610 West Second St.
Box 849
Newport, WA 99156 - Phone
- (509) 447-3105
- Fax
- (509) 447-5661
- NPI assigned
- Sep 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Gary Cool, DMD
- Title
- Dentist
- Phone
- (509) 447-3105
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 5239 | WA | Primary |
Addresses
Primary practice location
610 West Second St.
Box 849
Newport, WA 99156
Mailing address
610 West Second St
Newport, WA 99156
Phone (509) 447-3105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376625442 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
610 W 2nd St
#849
Newport, WA 99156
Phone (509) 447-3105
610 W 2nd St
Newport, WA 99156
Phone (509) 447-3105
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Newport, WA
- NPI 1376625442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472688000000",
"number": "1720535297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 WEST SECOND ST",
"city": "NEWPORT",
"state": "WA",
"postal_code": "99156",
"telephone_number": "509-447-3105",
"fax_number": "509-447-5661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 WEST SECOND ST.",
"address_2": "BOX 849",
"city": "NEWPORT",
"state": "WA",
"postal_code": "99156",
"telephone_number": "509-447-3105",
"fax_number": "509-447-5661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWPORT DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A",
"authorized_official_last_name": "COOL",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "GARY",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "509-447-3105",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "WA",
"license": "5239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376625442",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, WA
- David Kingman Murray, M.D.
- New Health Programs Association (NEW Health Newport Dental)
- New Health Programs Association (NEW Health Newport Medical)
- New Health Programs Association (NEW Health Newport Pharmacy)
- Travis Aaron Newby, DO
- Newport School District
- Sabrina Newton
- Northeastern Washington Eyecare (Colville Vision Source)
- Northern Medical Systems, Inc.
- Laura Rebecca Noyes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.