NPIMap

Organization Active NPI

Dale L. Vanderschelden, DDS Chartered

  • General Practice Dentistry
  • Tacoma, WA
National Provider Identifier
1730543240
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00005629 Issued in WA
Legal business name
DALE L. VANDERSCHELDEN, DDS CHARTERED
Practice address
5003 Tacoma Mall Blvd Ste 103
Tacoma, WA 98409-7120
Phone
(253) 759-3366
NPI assigned
Apr 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Dr. Dale Vanderschelden, DDSNPI 1316166044
Title
Owner
Phone
(253) 759-3366

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00005629 WA Primary

Addresses

Primary practice location

5003 Tacoma Mall Blvd Ste 103
Tacoma, WA 98409-7120

Mailing address

5003 Tacoma Mall Blvd Ste 103
Tacoma, WA 98409-7120
Phone (253) 759-3366

Other names 1

  • Rainier Dental Tacoma Other name

National Provider Directory

National Provider Directory

Locations

5003 Tacoma Mall Blvd
Ste 103
Tacoma, WA 98409
Phone (253) 759-3366

Practitioners & affiliated clinicians

Practitioners 2

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": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1730543240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 TACOMA MALL BLVD STE 103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097120",
            "telephone_number": "253-759-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 TACOMA MALL BLVD STE 103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097120",
            "telephone_number": "253-759-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE L. VANDERSCHELDEN, DDS CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "VANDERSCHELDEN",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-759-3366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainier Dental Tacoma",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.