NPIMap

Organization Active NPI

Grin and Bear It Dental Clinic

  • General Practice Dentistry
  • Vancouver, WA
National Provider Identifier
1831267673
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
UBI 602-099-728 Issued in WA
Legal business name
GRIN AND BEAR IT DENTAL CLINIC
Practice address
9513 NE Fourth Plain Road
Vancouver, WA 98662-6145
Phone
(360) 254-5477
Fax
(360) 254-4881
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Dr. Neil A Gray, DMD
Title
President Owner
Phone
(360) 254-5477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X UBI 602-099-728 WA Primary

Addresses

Primary practice location

9513 NE Fourth Plain Road
Vancouver, WA 98662-6145

Mailing address

9513 NE Fourth Plain Road
Vancouver, WA 98662-6145
Phone (360) 254-5477

National Provider Directory

National Provider Directory

Locations

9513 NE Fourth Plain Blvd
Vancouver, WA 98662
Phone (360) 254-5477

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1831267673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9513 NE FOURTH PLAIN ROAD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626145",
            "telephone_number": "360-254-5477",
            "fax_number": "360-254-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9513 NE FOURTH PLAIN ROAD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626145",
            "telephone_number": "360-254-5477",
            "fax_number": "360-254-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIN AND BEAR IT DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "360-254-5477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "UBI 602-099-728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.