Organization Active NPI

Caring Dental Northwest, P.C.

  • Endodontics
  • Vancouver, WA
National Provider Identifier
1952420309
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
9452 Issued in WA
Legal business name
CARING DENTAL NORTHWEST, P.C.
Practice address
12503 SE Mill Plain Blvd
Suite 215
Vancouver, WA 98684-4009
Phone
(360) 891-9111
Fax
(360) 891-9119
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard E. Mounce, D.D.S.
Title
Owner
Phone
(360) 891-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 9452 WA Primary

Addresses

Primary practice location

12503 SE Mill Plain Blvd
Suite 215
Vancouver, WA 98684-4009

Mailing address

12503 SE Mill Plain Blvd
Suite 215
Vancouver, WA 98684-4009
Phone (360) 891-9111

National Provider Directory

National Provider Directory

Locations

12503 SE Mill Plain Blvd
Ste 215
Vancouver, WA 98684
Phone (360) 891-9111

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952420309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12503 SE MILL PLAIN BLVD",
            "address_2": "SUITE 215",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844009",
            "telephone_number": "360-891-9111",
            "fax_number": "360-891-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12503 SE MILL PLAIN BLVD",
            "address_2": "SUITE 215",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844009",
            "telephone_number": "360-891-9111",
            "fax_number": "360-891-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING DENTAL NORTHWEST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOUNCE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-891-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "9452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.