Active NPI
Richard L. Grabowsky, D.D.S.
- Pediatric Dentistry
- Vancouver, WA
National Provider Identifier
1841353638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE60180365
- Practice address
- 1933 Fort Vancouver Way
Vancouver, WA 98663-3529 - Phone
- (360) 992-2158
- Fax
- (360) 992-2880
- NPI assigned
- Dec 19, 2006
- Last updated
- Feb 28, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DE60180365 | WA | Primary |
Addresses
Primary practice location
1933 Fort Vancouver Way
Vancouver, WA 98663-3529
Mailing address
1933 Fort Vancouver Way
Vancouver, WA 98663-3529
Phone (360) 992-2158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE60180365 | Other | WA | DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60180365 | WA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1841353638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1933 FORT VANCOUVER WAY",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986633529",
"telephone_number": "360-992-2158",
"fax_number": "360-992-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1933 FORT VANCOUVER WAY",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986633529",
"telephone_number": "360-992-2158",
"fax_number": "360-992-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRABOWSKY",
"first_name": "RICHARD",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE60180365",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "DE60180365",
"state": "WA"
}
],
"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 Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.