NPIMap

Organization Active NPI

Shiflett Family Dentistry

  • Dental Clinic/Center
  • Hoquiam, WA
National Provider Identifier
1730532037
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60373456 Issued in WA
Legal business name
SHIFLETT FAMILY DENTISTRY
Practice address
2005 Sumner Ave
Hoquiam, WA 98550-2702
Phone
(360) 538-0290
Fax
(360) 533-3168
NPI assigned
Jul 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Authorized official

Name
Mrs. Vanesa Brogan
Title
Office Manager
Phone
(360) 538-0290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE60373456 WA Primary

Addresses

Primary practice location

2005 Sumner Ave
Hoquiam, WA 98550-2702

Mailing address

2005 Sumner Ave
Hoquiam, WA 98550-2702
Phone (360) 538-0290

National Provider Directory

National Provider Directory

Locations

2005 Sumner Ave
Hoquiam, WA 98550
Phone (360) 533-3168

Practitioners & affiliated clinicians

Practitioners 3

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": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1730532037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 SUMNER AVE",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985502702",
            "telephone_number": "360-538-0290",
            "fax_number": "360-533-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SUMNER AVE",
            "city": "HOQUIAM",
            "state": "WA",
            "postal_code": "985502702",
            "telephone_number": "360-538-0290",
            "fax_number": "360-533-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFLETT FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "BROGAN",
        "authorized_official_first_name": "VANESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-538-0290",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60373456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoquiam, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.