NPIMap

Organization Active NPI

Carlile Birch Noble Cramer PLLC

Doing business as Eleven Eleven Dental

  • Dental Clinic/Center
  • Port Angeles, WA
National Provider Identifier
1780110395
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CARLILE BIRCH NOBLE CRAMER PLLC
Doing business as
Eleven Eleven Dental
Practice address
1111 Columbia St
Port Angeles, WA 98362-4207
Phone
(360) 357-4500
NPI assigned
May 3, 2017
Last updated
May 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Chelsea Nagel
Title
Operations Manager
Phone
(360) 357-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1111 Columbia St
Port Angeles, WA 98362-4207

Mailing address

1111 Columbia St
Port Angeles, WA 98362-4207

Other names 1

  • Eleven Eleven Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1780110395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 COLUMBIA ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 COLUMBIA ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624207",
            "telephone_number": "360-357-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLILE BIRCH NOBLE CRAMER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "360-357-4500"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eleven Eleven Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.