NPIMap

Organization Active NPI

Sloan K Jorgensen, DDS

  • General Practice Dentistry
  • Moses Lake, WA
National Provider Identifier
1962956847
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00008463 Issued in WA
Legal business name
SLOAN K JORGENSEN, DDS
Practice address
823 E Colonial Ave
Moses Lake, WA 98837-4611
Phone
(509) 765-7853
NPI assigned
Aug 9, 2016
Last updated
Aug 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Amy Jorgensen
Title
Bookkeeper
Phone
(509) 765-7853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00008463 WA Primary

Addresses

Primary practice location

823 E Colonial Ave
Moses Lake, WA 98837-4611

Mailing address

823 E Colonial Ave
Moses Lake, WA 98837-4611
Phone (509) 765-7853

National Provider Directory

National Provider Directory

Locations

823 E Colonial Ave
Moses Lake, WA 98837
Phone (509) 765-7853

Practitioners & affiliated clinicians

Practitioners 5

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": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1962956847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 E COLONIAL AVE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374611",
            "telephone_number": "509-765-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 E COLONIAL AVE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374611",
            "telephone_number": "509-765-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLOAN K JORGENSEN, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "509-765-7853"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.