NPIMap

Organization Active NPI

Advanced Dental Sleep Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Vancouver, WA
National Provider Identifier
1730625302
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADVANCED DENTAL SLEEP SOLUTIONS LLC
Practice address
7107 NE Vancouver Mall Dr
Suite D
Vancouver, WA 98661-8178
Phone
(360) 892-6555
Fax
(360) 892-4170
NPI assigned
Jan 6, 2017
Last updated
Jan 20, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
JACK D JORGENSEN DMD PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Dr. Jack Denzil Jorgensen, DMDNPI 1881796324
Title
President
Phone
(360) 892-6555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

7107 NE Vancouver Mall Dr
Suite D
Vancouver, WA 98661-8178

Mailing address

7107 NE Vancouver Mall Dr
Suite D
Vancouver, WA 98661-8178
Phone (360) 892-6555

National Provider Directory

National Provider Directory
Part of
Jack D Jorgensen DMD PS

Locations

7107 NE Vancouver Mall Dr
Ste D
Vancouver, WA 98661
Phone (360) 892-6555

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1730625302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7107 NE VANCOUVER MALL DR",
            "address_2": "SUITE D",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986618178",
            "telephone_number": "360-892-6555",
            "fax_number": "360-892-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7107 NE VANCOUVER MALL DR",
            "address_2": "SUITE D",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986618178",
            "telephone_number": "360-892-6555",
            "fax_number": "360-892-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL SLEEP SOLUTIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACK D JORGENSEN DMD PS",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DENZIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-892-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.