Organization Active NPI

Rainier Dental-Sumner

  • General Practice Dentistry
  • Sumner, WA
National Provider Identifier
1760793467
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5629 Issued in WA
Legal business name
RAINIER DENTAL-SUMNER
Practice address
15208 Main St E
Sumner, WA 98390-2638
Phone
(253) 891-9100
Fax
(253) 863-9368
NPI assigned
Jun 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Mrs. Angela M Rodriguez
Title
Office Manager
Phone
(253) 891-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5629 WA Primary

Addresses

Primary practice location

15208 Main St E
Sumner, WA 98390-2638

Mailing address

15208 Main St E
Sumner, WA 98390-2638
Phone (253) 891-9100

Other names 1

  • rainier dental-sumner Former legal business name

National Provider Directory

National Provider Directory

Locations

15208 Main St E
Sumner, WA 98390
Phone (253) 891-9100

Practitioners & affiliated clinicians

Practitioners 1

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": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1760793467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15208 MAIN ST E",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983902638",
            "telephone_number": "253-891-9100",
            "fax_number": "253-863-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15208 MAIN ST E",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983902638",
            "telephone_number": "253-891-9100",
            "fax_number": "253-863-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINIER DENTAL-SUMNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-891-9100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "rainier dental-sumner",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sumner, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.