Center for Endodontic Care Inc

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

008393 Issued in WA

Legal business name

CENTER FOR ENDODONTIC CARE INC

Doing business as

Dental Speciality Clinic

Practice address

22613 Pacific Hwy S Ste 301
Des Moines, WA 98198-5110

Phone

(206) 824-7000

Fax

(206) 824-4888

NPI assigned

Dec 12, 2006

Last updated

Oct 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kulwant S VerraichNPI 1336404789

Title

DDS MDS

Phone

(206) 824-7000

Specialties & licenses 1

Addresses

Other names 1

• Dental Speciality Clinic Doing business as

Locations

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.

• Kulwant Singh Verraich, DENTIST

  • Endodontics
  • Des Moines, WA
  • NPI 1336404789
  NPD (past) Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1760543292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22613 PACIFIC HWY S STE 301",
            "address_2": "#A",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981985110",
            "telephone_number": "206-824-7000",
            "fax_number": "206-824-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22613 PACIFIC HWY S STE 301",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981985110",
            "telephone_number": "206-824-7000",
            "fax_number": "206-824-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ENDODONTIC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "VERRAICH",
        "authorized_official_first_name": "KULWANT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DDS MDS",
        "authorized_official_telephone_number": "206-824-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "008393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Speciality Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Theresa Cabibi, MFT
• Laura Brooke Cantrell
• Cristina Cardona, PHARMD
• Martin Alejandro Carrillo
• Raven T Carter, CBT
• Neha Chand
• Elaine Yi-Lien Chang, MD
• Yevgeniya V Charkowske, PHARMD
• Charles O. Holmes DDS PS
• Laura Kathleen Chasteen, RD, MS, CN

• Endodontics in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.