Organization Active NPI

Saratoga Dental

  • Dentist
  • Langley, WA
National Provider Identifier
1821431503
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60172172 Issued in WA
Legal business name
SARATOGA DENTAL
Practice address
742 Camano Ave
Langley, WA 98260-9570
Phone
(360) 221-6373
NPI assigned
Apr 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Dayna Johnson
Title
Office Manager
Phone
(360) 221-6373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE60172172 WA Primary

Addresses

Primary practice location

742 Camano Ave
Langley, WA 98260-9570

Mailing address

742 Camano Ave
Langley, WA 98260-9570
Phone (360) 221-6373

National Provider Directory

National Provider Directory

Locations

742 Camano Ave
Langley, WA 98260
Phone (360) 221-6373

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": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1821431503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 CAMANO AVE",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609570",
            "telephone_number": "360-221-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 CAMANO AVE",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609570",
            "telephone_number": "360-221-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAYNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-221-6373"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60172172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.