Discovery Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00009946 Issued in WA

Legal business name

DISCOVERY DENTAL

Practice address

959 NE Discovery Dr
Issaquah, WA 98029-6231

Phone

(425) 295-7975

Fax

(425) 295-7959

NPI assigned

Aug 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Madhuri Vanama, DDS

Title

Doctor

Phone

(425) 295-7975

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1972057693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 NE DISCOVERY DR",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296231",
            "telephone_number": "425-295-7975",
            "fax_number": "425-295-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 NE DISCOVERY DR",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296231",
            "telephone_number": "425-295-7975",
            "fax_number": "425-295-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "VANAMA",
        "authorized_official_first_name": "MADHURI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "425-295-7975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00009946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Lynne Diem, D.O.
• Bridget Murray Dillon, MA, LMHCA
• Adrienne Marie Dinicola, DC
• Lindsey Ann Dinicola, DC
• Dipti Srivastava, PLLC
• Heidi Marie Dishneau, ARNP
• Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC
• Maurice Lee Doerfler, MD
• Paul Doetsch
• Angela Lynn Dokken, PT, DPT

• Dental Clinic/Center in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.