NPIMap

Organization Active NPI

Sumner Smiles Dentistry

  • Dentist
  • Sumner, WA
National Provider Identifier
1861948713
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60146593 Issued in WA
Legal business name
SUMNER SMILES DENTISTRY
Practice address
1211 Main St
Sumner, WA 98390-1416
Phone
(253) 863-4400
Fax
(253) 863-2336
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Dr. Nikolina P Nielsen, DMDNPI 1992031512
Title
Dentist
Phone
(253) 863-4400

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
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DE60146593 WA Primary

Addresses

Primary practice location

1211 Main St
Sumner, WA 98390-1416

Mailing address

1211 Main St
Sumner, WA 98390-1416
Phone (253) 863-4400

National Provider Directory

National Provider Directory

Locations

1211 Main St
Sumner, WA 98390
Phone (253) 863-4400

Practitioners & affiliated clinicians

Practitioners 2

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": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1861948713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 MAIN ST",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901416",
            "telephone_number": "253-863-4400",
            "fax_number": "253-863-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 MAIN ST",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901416",
            "telephone_number": "253-863-4400",
            "fax_number": "253-863-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMNER SMILES DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "NIKOLINA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "253-863-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60146593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumner, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.