Organization Active NPI

Cascade Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Federal Way, WA
National Provider Identifier
1871837732
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE 00010636 Issued in WA
Legal business name
CASCADE ORTHODONTICS
Practice address
1109 S 348TH St
Suite B
Federal Way, WA 98003-7079
Phone
(253) 944-1848
Fax
(253) 944-1857
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Ms. Christine Anna Simonson, RDH
Title
Office Manager
Phone
(206) 293-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DE 00010636 WA Primary

Addresses

Primary practice location

1109 S 348TH St
Suite B
Federal Way, WA 98003-7079

Mailing address

1109 S 348TH St
Suite B
Federal Way, WA 98003-7079
Phone (253) 944-1848

Other identifiers 1

IdentifierTypeStateIssuer
603 218 784OtherWAUNIFIED BUSINESS IDENTIFIER (UBI)

National Provider Directory

National Provider Directory

Locations

1109 S 348th St
Ste B
Federal Way, WA 98003
Phone (253) 944-1848

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1871837732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 S 348TH ST",
            "address_2": "SUITE B",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037079",
            "telephone_number": "253-944-1848",
            "fax_number": "253-944-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 S 348TH ST",
            "address_2": "SUITE B",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037079",
            "telephone_number": "253-944-1848",
            "fax_number": "253-944-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "SIMONSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-293-3300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE 00010636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIFIED BUSINESS IDENTIFIER (UBI)",
            "identifier": "603 218 784",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.