Washington State Smile Partners

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH00004517 Issued in WA

Legal business name

WASHINGTON STATE SMILE PARTNERS

Practice address

221 Winslow Way W Ste 302
Bainbridge Is, WA 98110-4917

Phone

(206) 909-1365

NPI assigned

Aug 17, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kate Mills, RDH

Title

Director

Phone

(206) 909-1365

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Ann Mills, RDH

  • Dental Hygienist
  • Bainbridge Island, WA
  • NPI 1912191024
  NPD (past)
• Vicki Gae Nelson, R.D.H.

  • Dental Hygienist
  • Bainbridge Island, WA
  • NPI 1912289364
  NPD (past)

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1932392461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WINSLOW WAY W STE 302",
            "city": "BAINBRIDGE IS",
            "state": "WA",
            "postal_code": "981104917",
            "telephone_number": "206-909-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 WINSLOW WAY W STE 302",
            "city": "BAINBRIDGE IS",
            "state": "WA",
            "postal_code": "981104917",
            "telephone_number": "206-909-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON STATE SMILE PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "206-909-1365",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH00004517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902168",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oliver Petraitis, MA, CF-SLP
• Joaquin W. Rosado, D.C.
• Sahid Mohamed Sahid
• Gloria W Sayler, M.S.S., LICSW
• Kristine K Stapleton, LMP
• Laura Wulff, MD
• Michele Adelaide Wyzga, LMT

• Dental Hygienist in Bainbridge Is, WA
• Providers in Bainbridge Is, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.