NPIMap

Organization Active NPI

Vancouver Center for General and Cosmetic Dentistry

  • Dentist
  • Vancouver, WA
National Provider Identifier
1952571382
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
VANCOUVER CENTER FOR GENERAL AND COSMETIC DENTISTRY
Practice address
6715 NE 63Rd St Ste 101
Vancouver, WA 98661-1980
Phone
(360) 699-5555
Fax
(360) 699-8999
NPI assigned
Feb 29, 2008
Organization subpart
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Mr. Richard E Sipes, DDSNPI 1306937636
Title
President
Phone
(360) 699-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X WA Primary

Addresses

Primary practice location

6715 NE 63Rd St Ste 101
Vancouver, WA 98661-1980

Mailing address

6715 NE 63Rd St Ste 101
Vancouver, WA 98661-1980
Phone (360) 699-5555

Other names 1

  • New Leaf Dental Care Doing business as

National Provider Directory

National Provider Directory
Part of
Vancouver Center for General and Cosmetic Dentistry

Locations

6715 NE 63rd St
Ste 101
Vancouver, WA 98661
Phone (360) 699-5555

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1952571382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 NE 63RD ST STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986611980",
            "telephone_number": "360-699-5555",
            "fax_number": "360-699-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 NE 63RD ST STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986611980",
            "telephone_number": "360-699-5555",
            "fax_number": "360-699-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER CENTER FOR GENERAL AND COSMETIC DENTISTRY",
        "organizational_subpart": "YES",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "SIPES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-699-5555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Leaf Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 29, 2008; 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.