NPIMap

Organization Active NPI

Ojh Clinic No 3 Inc - Monroe Family Dentistry

  • Dentist
  • Monroe, WA
National Provider Identifier
1962599316
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5262 Issued in WA
Legal business name
OJH CLINIC NO 3 INC - MONROE FAMILY DENTISTRY
Practice address
19071 Hwy 2
Monroe, WA 98272
Phone
(360) 794-8000
Fax
(360) 794-6257
NPI assigned
Oct 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Otto J Hanssen, DDS
Title
Owner Dentist
Phone
(253) 630-4081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5262 WA Primary

Addresses

Primary practice location

19071 Hwy 2
Monroe, WA 98272

Mailing address

19071 Hwy 2
Monroe, WA 98272
Phone (360) 794-8000

National Provider Directory

National Provider Directory

Locations

19071 Sr 2
Monroe, WA 98272
Phone (360) 794-8000

Practitioners & affiliated clinicians

Practitioners 2

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962599316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19071 HWY 2",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "98272",
            "telephone_number": "360-794-8000",
            "fax_number": "360-794-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19071 HWY 2",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "98272",
            "telephone_number": "360-794-8000",
            "fax_number": "360-794-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OJH CLINIC NO 3 INC - MONROE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSSEN",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "253-630-4081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "5262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, 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.