NPIMap

Organization Active NPI

Scott Bibbens DMD PL LLC

  • General Practice Dentistry
  • Wenatchee, WA
National Provider Identifier
1760933329
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00010100 Issued in WA
Legal business name
SCOTT BIBBENS DMD PL LLC
Practice address
211 N Whitman Way
Wenatchee, WA 98801-2192
Phone
(509) 663-5722
Fax
(509) 663-1402
NPI assigned
Oct 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Sherri L Mathews
Title
Office Mananger
Phone
(509) 663-5722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00010100 WA Primary

Addresses

Primary practice location

211 N Whitman Way
Wenatchee, WA 98801-2192

Mailing address

211 N Whitman Way
Wenatchee, WA 98801-2192
Phone (509) 663-5722

Other names 1

  • open wide Other name

National Provider Directory

National Provider Directory
Tax ID family
Open Wide2 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.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1760933329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N WHITMAN WAY",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012192",
            "telephone_number": "509-663-5722",
            "fax_number": "509-663-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N WHITMAN WAY",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012192",
            "telephone_number": "509-663-5722",
            "fax_number": "509-663-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT BIBBENS DMD PL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANANGER",
        "authorized_official_telephone_number": "509-663-5722"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "open wide",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.