Active NPI
Rupam Josan
- Dental Hygienist
- Vancouver, WA
National Provider Identifier
1982305066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- Practice address
- 19005 SE 34TH St
Vancouver, WA 98683-1450 - Phone
- (360) 726-6720
- NPI assigned
- Mar 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | Primary |
Addresses
Primary practice location
19005 SE 34TH St
Vancouver, WA 98683-1450
Mailing address
16911 NE 78TH Way
Vancouver, WA 98682-1554
Phone (201) 245-3561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678838400000",
"number": "1982305066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16911 NE 78TH WAY",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986821554",
"telephone_number": "201-245-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19005 SE 34TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986831450",
"telephone_number": "360-726-6720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSAN",
"first_name": "RUPAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-15",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.