Organization Active NPI

Dental Arts

  • General Practice Dentistry
  • Friday Harbor, WA
National Provider Identifier
1790138634
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00009436 Issued in WA
Legal business name
DENTAL ARTS
Practice address
278 A St
Suite #1
Friday Harbor, WA 98250-7178
Phone
(360) 378-5580
Fax
(360) 378-5619
NPI assigned
Jul 15, 2016
Last updated
Jul 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Authorized official

Name
Dr. John Stanford Wakeman, D.D.S.NPI 1467666990
Title
Dentist
Phone
(360) 378-5580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00009436 WA Primary

Addresses

Primary practice location

278 A St
Suite #1
Friday Harbor, WA 98250-7178

Mailing address

278 A St
Suite #1
Friday Harbor, WA 98250-7178
Phone (360) 378-5580

National Provider Directory

National Provider Directory

Locations

278 A St
Ste 1
Friday Harbor, WA 98250
Phone (360) 378-5580

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1790138634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 A ST",
            "address_2": "SUITE #1",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982507178",
            "telephone_number": "360-378-5580",
            "fax_number": "360-378-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 A ST",
            "address_2": "SUITE #1",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982507178",
            "telephone_number": "360-378-5580",
            "fax_number": "360-378-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "WAKEMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STANFORD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-378-5580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friday Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.