Organization Active NPI

Bellingham Dental Group

  • Dentist
  • Bellingham, WA
National Provider Identifier
1992134068
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60099952 Issued in WA
Legal business name
BELLINGHAM DENTAL GROUP
Practice address
1100 Ellis St
Ste 1
Bellingham, WA 98225-5238
Phone
(360) 734-6190
Fax
(360) 733-2120
NPI assigned
Nov 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Dr. Parker John C. Haley, DDSNPI 1053644104
Title
Dentist
Phone
(360) 734-6190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE60099952 WA Primary

Addresses

Primary practice location

1100 Ellis St
Ste 1
Bellingham, WA 98225-5238

Mailing address

1100 Ellis St
Ste 1
Bellingham, WA 98225-5238
Phone (360) 734-6190

National Provider Directory

National Provider Directory

Locations

1100 Ellis St
Ste 1
Bellingham, WA 98225
Phone (360) 734-6190

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1992134068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ELLIS ST",
            "address_2": "STE 1",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255238",
            "telephone_number": "360-734-6190",
            "fax_number": "360-733-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ELLIS ST",
            "address_2": "STE 1",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255238",
            "telephone_number": "360-734-6190",
            "fax_number": "360-733-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "PARKER JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-734-6190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60099952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.