Organization Active NPI

A Family Dental Center

  • Dentist
  • Kennewick, WA
National Provider Identifier
1942440581
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE10248 Issued in WA
Legal business name
A FAMILY DENTAL CENTER
Practice address
8511 W. Clearwater Ave.
Suite a
Kennewick, WA 99336-8578
Phone
(509) 736-2318
Fax
(509) 735-7210
NPI assigned
Feb 23, 2009
Last updated
Feb 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Andrew Todd MohlmanNPI 1821157603
Title
Dentist
Phone
(509) 736-2318

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE10248 WA Primary

Addresses

Primary practice location

8511 W. Clearwater Ave.
Suite a
Kennewick, WA 99336-8578

Mailing address

8511 W. Clearwater Ave.
Suite a
Kennewick, WA 99336-8578
Phone (509) 736-2318

National Provider Directory

National Provider Directory

Locations

8511 W Clearwater Ave
Ste A
Kennewick, WA 99336
Phone (509) 736-2318

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": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1942440581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 W. CLEARWATER AVE.",
            "address_2": "SUITE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368578",
            "telephone_number": "509-736-2318",
            "fax_number": "509-735-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 W. CLEARWATER AVE.",
            "address_2": "SUITE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368578",
            "telephone_number": "509-736-2318",
            "fax_number": "509-735-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A FAMILY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "MOHLMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "509-736-2318"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE10248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.