Jacqueline Ann Angell, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00010594 Issued in WA

Practice address

11100 NE Coxley Dr
Vancouver, WA 98662-6193

Phone

(360) 254-9700

Fax

(360) 254-5580

NPI assigned

Nov 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shillinger DDS PS

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1841436961
  NPD (past)

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1942481007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 NE COXLEY DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626193",
            "telephone_number": "360-254-9700",
            "fax_number": "360-254-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 NE COXLEY DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626193",
            "telephone_number": "360-254-9700",
            "fax_number": "360-254-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELL",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anew Counseling and Wellness, PLLC
• Angel de la Paz Massage Therapy
• Aaron Angel, MD
• Kelsey Angel, LICSW
• Quiolo Gerome Angeles, PT
• Amiel Jandy Angelo, PHARMD
• Joseph Ted Angelo, RPH
• Gaylene Angelos
• Ersilia Anghel, MD
• Linda Elaine Anglin

• Dentist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.