Active NPI
C.W. Vittitow DMD PLLC
- Dental Clinic/Center
- Bellingham, WA
National Provider Identifier
1720712938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- C.W. VITTITOW DMD PLLC
- Practice address
- 2219 Rimland Dr Ste 110
Bellingham, WA 98226-8661 - Phone
- (360) 543-8488
- NPI assigned
- Jul 13, 2022
- 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
- Dr. Charles W Vittitow, DMD
- Title
- Owner
- Phone
- (502) 523-3514
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
2219 Rimland Dr Ste 110
Bellingham, WA 98226-8661
Mailing address
2520 Vallette Street
Bellingham, WA 98225
Phone (502) 523-3514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221201002273 | WA | DME Supplier - Oral Surgery - Dentist | 2961870506 | Practice locations: Bellingham, WA |
National Provider Directory
National Provider DirectoryLocations
2219 Rimland Dr
Ste 110
Bellingham, WA 98226
Phone (360) 543-8488
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
- Bellingham, WA
- NPI 1790168623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760054400000",
"number": "1720712938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 VALLETTE STREET",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98225",
"telephone_number": "502-523-3514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2219 RIMLAND DR STE 110",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982268661",
"telephone_number": "360-543-8488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C.W. VITTITOW DMD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-13",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A",
"authorized_official_last_name": "VITTITOW",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-523-3514",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.