Vanbibber Wenatchee PC

Primary specialty

DentistTaxonomy code 122300000X

License

DE60282727 Issued in WA

Legal business name

VANBIBBER WENATCHEE PC

Practice address

650 N Miller St
Wenatchee, WA 98801-2044

Phone

(509) 662-3621

NPI assigned

Apr 7, 2016

Organization subpart

No

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

Authorized official

Name

Justin Vanbibber, DMD

Title

President

Phone

(253) 537-5437

Specialties & licenses 1

Addresses

Other names 1

• Children's Dentistry of Wenatchee Doing business as

Tax ID family

Children'S Dentistry of Wenatchee2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vanbibber Wenatchee PC

  • Dentist
  • Wenatchee, WA
  • NPI 1871947424
  NPD tax ID

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1740644582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 72ND ST E",
            "address_2": "SUITE B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984041800",
            "telephone_number": "253-537-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N MILLER ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012044",
            "telephone_number": "509-662-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANBIBBER WENATCHEE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "VANBIBBER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-537-5437",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60282727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dentistry of Wenatchee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy Van Dyke, MC61565562
• Amanda Van Gorder, PHARM D
• Lori M. Van Lith, M.ED., LMHC
• Zachary Van Matre, CBT
• Zachary James Van Wagner, RDN
• Vanbibber Wenatchee PC
• Paula A Vanderpool
• Tyler Vanderpool
• Vivian Nina Vanderschelden, LPN
• Gloria Vandyke

• Dentist in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.