Organization Active NPI

Sleepy Smiles of Washington

  • Specialist
  • Yakima, WA
National Provider Identifier
1881001477
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AP 6048071 Issued in WA
Legal business name
SLEEPY SMILES OF WASHINGTON
Practice address
212 S 92ND Ave
Yakima, WA 98908-9361
Phone
(208) 316-6424
NPI assigned
Jul 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Mr. Paul A Dickinson, CRNA
Title
President
Phone
(208) 316-6424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X AP 6048071 WA Primary

Addresses

Primary practice location

212 S 92ND Ave
Yakima, WA 98908-9361

Mailing address

1115 8TH Ave E
Jerome, ID 83338-2139
Phone (208) 316-6424

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1881001477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 8TH AVE E",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833382139",
            "telephone_number": "208-316-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S 92ND AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989089361",
            "telephone_number": "208-316-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEPY SMILES OF WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-316-6424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "AP 6048071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.