Organization Active NPI

Billy Don Card, Jr., DDS, Ms, PS

  • Endodontics
  • Wenatchee, WA
National Provider Identifier
1891790812
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
8590 Issued in WA
Legal business name
BILLY DON CARD, JR., DDS, MS, PS
Practice address
620 N Emerson Ave
Ste 102
Wenatchee, WA 98801-6619
Phone
(509) 663-6883
Fax
(509) 662-8741
NPI assigned
Jun 16, 2005
Last updated
Sep 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Dr. Billy Don Card Jr., DDS, MSNPI 1295985331
Title
President
Phone
(509) 663-6883

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
Endodontics 1223E0200X 8590 WA Primary

Addresses

Primary practice location

620 N Emerson Ave
Ste 102
Wenatchee, WA 98801-6619

Mailing address

620 N Emerson Ave
Ste 102
Wenatchee, WA 98801-6619
Phone (509) 663-6883

Other identifiers 4

IdentifierTypeStateIssuer
DE 00008590OtherWASTATE DENTAL LICENSE
238OtherWAWDS CLIENT #
0141944OtherWALABOR & INDUSTRIES
8925622OtherWACRIME VICTIMS COMP. PROG.

National Provider Directory

National Provider Directory

Locations

620 N Emerson Ave
Ste 102
Wenatchee, WA 98801
Phone (509) 663-6883

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": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1891790812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N EMERSON AVE",
            "address_2": "STE 102",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016619",
            "telephone_number": "509-663-6883",
            "fax_number": "509-662-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N EMERSON AVE",
            "address_2": "STE 102",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016619",
            "telephone_number": "509-663-6883",
            "fax_number": "509-662-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILLY DON CARD, JR., DDS, MS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "CARD",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-663-6883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "8590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "DE 00008590",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WDS CLIENT #",
            "identifier": "238",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0141944",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS COMP. PROG.",
            "identifier": "8925622",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

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