Active NPI
Haley Vanderpool, D.D.S.
- Dentist
- Puyallup, WA
National Provider Identifier
1932621695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60764527
- Practice address
- 8012 112TH Street CT E Ste 320
Puyallup, WA 98373-7856 - Phone
- (253) 848-2331
- NPI assigned
- Jul 13, 2017
- Last updated
- Jul 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60764527 | WA | Primary |
Addresses
Primary practice location
8012 112TH Street CT E Ste 320
Puyallup, WA 98373-7856
Mailing address
8802 23Rd Ave NE
Seattle, WA 98115-3313
Phone (208) 308-7032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60764527 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499904000000",
"number": "1932621695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8802 23RD AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981153313",
"telephone_number": "208-308-7032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8012 112TH STREET CT E STE 320",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983737856",
"telephone_number": "253-848-2331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERPOOL",
"first_name": "HALEY",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-13",
"last_updated": "2017-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60764527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.