NPIMap

Organization Active NPI

Pond and Young PLLC

  • Dentist
  • Kelso, WA
National Provider Identifier
1912595257
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
POND AND YOUNG PLLC
Doing business as
Hilander Dental
Practice address
510 Allen St
Kelso, WA 98626-4139
Phone
(360) 636-5170
Fax
(360) 636-0052
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Renee Jeanette Kjose
Title
Manager/Controller
Phone
(360) 636-5170

Specialties & licenses 1

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

Addresses

Primary practice location

510 Allen St
Kelso, WA 98626-4139

Mailing address

510 Allen St
Kelso, WA 98626-4139
Phone (360) 636-5170

Other names 1

  • Hilander Dental Doing business as

National Provider Directory

National Provider Directory

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": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1912595257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 ALLEN ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986264139",
            "telephone_number": "360-636-5170",
            "fax_number": "360-636-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ALLEN ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986264139",
            "telephone_number": "360-636-5170",
            "fax_number": "360-636-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POND AND YOUNG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "KJOSE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "MANAGER/CONTROLLER",
        "authorized_official_telephone_number": "360-636-5170"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hilander Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kelso, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.