NORTHWEST IMAGING LLC (NPI# 1578947545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578947545 |
| Entity Type | Organization |
| Organization Name | NORTHWEST IMAGING LLC |
| Practice Address |
1020 Anderson Dr Suite 205 Aberdeen WA 98520-1055 |
| Practice Telephone | 3606123034 |
| Practice Fax Number | 3605329977 |
| Mailing Telephone | 3606123034 |
| Mailing Fax Number | 3605329977 |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2015-07-19 |
| Authorized Official Name | DR. DAVID CARL OBENCHAIN (MEMBER MANAGER) |
| Authorized Official Telephone | 4027404961 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DE601023338 | WA | Dental Providers |
| Street Address |
1020 ANDERSON DR SUITE 205 |
| City | ABERDEEN |
| State | WA |
| Zip Code | 98520-1055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376530642 | Barbara L Givens | Internal Medicine | 1020 Anderson Dr, Suite 205, Aberdeen, WA 98520-1055 | 2005-10-03 |
| 1255709101 | Valentine Medical Group Ps | Nurse Practitioner | 1020 Anderson Dr, Suite 203, Aberdeen, WA 98520-1055 | 2015-09-09 |
| 1568841799 | Obenchain Pllc | Dentist | 1020 Anderson Dr, Ste 205, Aberdeen, WA 98520-1055 | 2015-05-20 |
| 1861756777 | Herdel Medical Services | Family Medicine | 1020 Anderson Dr, Suite 203, Aberdeen, WA 98520-1055 | 2012-06-26 |
| 1043448160 | Olga Elizabeth Hernandez | Family Medicine | 1020 Anderson Dr, Suite 203, Aberdeen, WA 98520-1055 | 2009-06-26 |
| 1881831501 | Geneva S Tzenov | Nurse Practitioner | 1020 Anderson Dr, Suite 204, Aberdeen, WA 98520-1055 | 2009-01-16 |
| 1659408284 | David C Obenchain | Dentist | 1020 Anderson Dr, Suite 205, Aberdeen, WA 98520-1055 | 2007-02-28 |
| 1891834511 | Mary J Clayton Arnp Inc Ps | Nurse Practitioner | 1020 Anderson Dr, Suite 203, Aberdeen, WA 98520-1055 | 2007-02-06 |
| 1932248663 | Dana A Brannon Arnp Inc Ps | Nurse Practitioner | 1020 Anderson Dr, Suite 203, Aberdeen, WA 98520-1055 | 2007-02-06 |
| 1518006220 | John Bausher Md Phd Ps | Family Medicine | 1020 Anderson Dr, Suite 203, Aberdeen, WA 98520-1055 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
| 1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
| 1629587738 | Robert Williams | Counselor | Catholic Community Services, 403 West State Street, Suite 206, Aberdeen, WA 98520 | 2017-09-21 |
| 1174032296 | Amy D Tyler | Peer Specialist | 403 W State Street, Ste 206, Aberdeen, WA 98520 | 2017-09-20 |
| 1073032819 | Amanda Leona Franklin | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-09-13 |
| 1184141152 | Chrystal Lynn Beckley | Counselor | 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 | 2017-08-29 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| 1437570249 | Aberdeen Therapy Works | Occupational Therapist | 100 S. I Street, Suite 205, Aberdeen, WA 98520 | 2013-12-20 |
| Find all providers in zip 98520 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023413077 | Ehrmantrout & Obenchain, Pllc | Dentist | 800 E Wishkah St, Aberdeen, WA 98520-2915 | 2014-10-31 |
| 1962527531 | David J Parks | Dentist | 321 W 1st St, Aberdeen, WA 98520-6110 | 2007-03-20 |
| 1104984483 | Carl Mccamey Kimbler | Dentist | 820 1st Ave Se, Suite 400, Aberdeen, SD 57401-4601 | 2006-12-05 |
| 1568841799 | Obenchain Pllc | Dentist | 1020 Anderson Dr, Ste 205, Aberdeen, WA 98520-1055 | 2015-05-20 |
| 1811193436 | Dr. Kuhn & Associates | Dentist | 1902 N Sandhills Blvd, Suite H, Aberdeen, NC 28315-2382 | 2007-06-21 |
| 1659408284 | David C Obenchain | Dentist | 1020 Anderson Dr, Suite 205, Aberdeen, WA 98520-1055 | 2007-02-28 |
| 1487718565 | Northern Plains Oral and Maxillofacial Surgery LLC | Dentist | 820 1st Ave Se, Suite 400, Aberdeen, SD 57401-4601 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619657 | Washington Jaw and Facial Surgery Pllc | Dentist | 451 Duvall Ave Ne Ste 100, Renton, WA 98059-4675 | 2020-11-02 |
| 1952909145 | Calley Christie Dmd Pllc | Dentist | 275 Sw 160th St Ste 115, Burien, WA 98166-3003 | 2020-10-11 |
| 1679197016 | Tae Youn Dds Md Pllc | Dentist | 15808 Mill Creek Blvd Ste 202, Mill Creek, WA 98012-1500 | 2020-06-02 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1740744374 | Thompson Ferguson Schrack Pllc | Dentist | 7604 Ne 5th Ave Ste 114, Vancouver, WA 98665-8200 | 2019-01-28 |
| 1053875096 | John K Tidwell Dds and Elizabeth A Kutcipal Dds Pllc | Dentist | 1801 Nw Market St Ste 108, Seattle, WA 98107-3909 | 2019-01-23 |
| 1255803904 | Edwards, Johnson, Johnson & Johnson D.d.s., P.l.l.c. | Dentist | 601 S Carr Rd Ste 300, Renton, WA 98055-5840 | 2018-12-19 |
| 1104396969 | Mark Stivers, Dds, Inc., P.s. | Dentist | 12728 19th Ave Se Ste 101, Everett, WA 98208-6526 | 2018-12-04 |
| 1144797499 | Washington Jaw and Facial Surgery Pllc | Dentist | 1370 116th Ave Ne Ste 101, Bellevue, WA 98004-3825 | 2018-10-25 |
| 1780151027 | Washington Jaw and Facial Surgery Pllc | Dentist | 2111 N Northgate Way Ste 105, Seattle, WA 98133-9018 | 2018-10-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.