Organization Active NPI

James F. Selander, DDS

  • Dentist
  • Port Angeles, WA
National Provider Identifier
1881809945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00008354 Issued in WA
Legal business name
JAMES F. SELANDER, DDS
Practice address
832 E 8TH St
Port Angeles, WA 98362-6419
Phone
(360) 457-3669
Fax
(360) 452-7998
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Fullmer Selander, D.D.S.
Title
Doctor Owner
Phone
(360) 457-3669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE00008354 WA Primary

Addresses

Primary practice location

832 E 8TH St
Port Angeles, WA 98362-6419

Mailing address

832 E 8TH St
Port Angeles, WA 98362-6419
Phone (360) 457-3669

Other identifiers 3

IdentifierTypeStateIssuer
5049515MedicaidWA
1053400440OtherWAINDIVIDUAL NPI
5036868MedicaidWA

National Provider Directory

National Provider Directory

Locations

832 E 8th St
Port Angeles, WA 98362
Phone (360) 417-8806

Practitioners & affiliated clinicians

Practitioners 1

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881809945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626419",
            "telephone_number": "360-457-3669",
            "fax_number": "360-452-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626419",
            "telephone_number": "360-457-3669",
            "fax_number": "360-452-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES F. SELANDER, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELANDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FULLMER",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "360-457-3669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00008354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5049515",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1053400440",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5036868",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.