Evergreen Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE60028766 Issued in WA

Legal business name

EVERGREEN DENTAL

Practice address

2403 E Evergreen Blvd
Vancouver, WA 98661-4320

Phone

(360) 696-1671

Fax

(360) 695-3649

NPI assigned

Jan 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. William A Behrndt, DE60028766

Title

Dentist

Phone

(360) 696-1671

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Marion Scheel, DDS,PS

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1235282542
  NPD (past)

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1790022895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 E EVERGREEN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614320",
            "telephone_number": "360-696-1671",
            "fax_number": "360-695-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 E EVERGREEN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614320",
            "telephone_number": "360-696-1671",
            "fax_number": "360-695-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "BEHRNDT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-696-1671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DE60028766"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60028766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Ann Everett, NURSE PRACTITIONER
• Evergreen Audiology Gaming
• Evergreen Behavioral Health PC (Evergreen Behavioral Health)
• Evergreen Counseling Services, PC
• Evergreen Dental
• Evergreen Denture Center
• Evergreen Eye Care, LLC
• Evergreen Foot & Ankle Specialists PLLC
• Evergreen Medical Transportation LLC
• Evergreen Myohabits LLC

• Dental Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.