NPIMap

Organization Active NPI

Coupeville Dental Clinic

  • Clinic/Center
  • Coupeville, WA
National Provider Identifier
1841445350
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DE0007688 Issued in WA
Legal business name
COUPEVILLE DENTAL CLINIC
Practice address
107 S Main St
C 103
Coupeville, WA 98239-3541
Phone
(360) 678-8304
NPI assigned
Nov 25, 2008
Last updated
Nov 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Dr. Julie Grove, DMDNPI 1366535205
Title
President
Phone
(360) 678-8304

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
Clinic/Center 261Q00000X DE0007688 WA Primary

Addresses

Primary practice location

107 S Main St
C 103
Coupeville, WA 98239-3541

Mailing address

PO Box 338
Coupeville, WA 98239-0338
Phone (360) 678-8304

National Provider Directory

National Provider Directory

Locations

107 S Main St
Ste C103
Coupeville, WA 98239
Phone (360) 678-8304

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": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1841445350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982390338",
            "telephone_number": "360-678-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S MAIN ST",
            "address_2": "C 103",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393541",
            "telephone_number": "360-678-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUPEVILLE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-678-8304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "DE0007688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coupeville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.