Camas Orthodontics LLC Tod Hardin Sole MBR

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

CAMAS ORTHODONTICS LLC TOD HARDIN SOLE MBR

Doing business as

Camas Orthodontics

Practice address

5420 NW 38TH Ave Ste 102
Camas, WA 98607-5403

Phone

(360) 953-8887

NPI assigned

Aug 8, 2018

Last updated

Aug 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tod Mathew Hardin, DMD

Title

Owner

Phone

(775) 409-4614

Specialties & licenses 1

Addresses

Other names 1

• Camas Orthodontics Doing business as

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1962981241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 GRANT DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095301",
            "telephone_number": "775-409-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 NW 38TH AVE STE 102",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986075403",
            "telephone_number": "360-953-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMAS ORTHODONTICS LLC TOD HARDIN SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "TOD",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-409-4614",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camas Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Camas, WA
• Providers in Camas, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.