Individual provider Active NPI

Richard L. Grabowsky, D.D.S.

  • Pediatric Dentistry
  • Vancouver, WA
National Provider Identifier
1841353638
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE60180365 Issued in WA
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DE60180365OtherWADENTAL 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

LicenseStateTypeSpecialty
DE60180365WAMDPediatric 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.

Verify at the official NPI Registry.