NEWPORT DENTAL (NPI# 1720535297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720535297 |
| Entity Type | Organization |
| Organization Name | NEWPORT DENTAL |
| Practice Address |
610 West Second St. Box 849 Newport WA 99156 |
| Mailing Address |
610 West Second St Newport WA 99156 |
| Practice Telephone | 5094473105 |
| Practice Fax Number | 5094475661 |
| Mailing Telephone | 5094473105 |
| Mailing Fax Number | 5094475661 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | JAMES GARY COOL (DENTIST) |
| Authorized Official Telephone | 5094473105 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5239 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1376625442 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NEWPORT DENTAL | 612 Sw 9th Street, Newport, OR 97365 |
| Oregon Corporations, Companies and Business Names | NEWPORT DENTAL CARE, P.C. | 4909 S Coast Hwy Ste #8, South Beach, OR 97366 |
| Street Address |
610 WEST SECOND ST. BOX 849 |
| City | NEWPORT |
| State | WA |
| Zip Code | 99156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033665278 | Elisabeth Mackey | Nurse Practitioner | 704 West Pine Street, Newport, WA 99156 | 2016-08-28 |
| 1558764845 | Russell John Stephens | Dentist | 424 N. Warren Ave., Newport, WA 99156 | 2014-10-01 |
| 1215289285 | Mary Sue Siemsen | Speech-Language Pathologist | 1201 W. 5th Street, Newport, WA 99156 | 2012-10-15 |
| 1699027797 | Denise Anderson | Registered Nurse | 1380 W. 5th Street, Newport, WA 99156 | 2012-10-12 |
| 1174840532 | Tina Diane Vanzandt | Counselor | 405 W Walnut St Ste 3, Newport, WA 99156 | 2010-04-26 |
| 1447415252 | Carol Townley | Social Worker | 105 S Garden Avenue, Box 5055, Newport, WA 99156 | 2008-07-21 |
| 1992912117 | Lois A. Robertson | Massage Therapist | 322 South Washington Avenue, Newport, WA 99156 | 2007-05-17 |
| 1740312073 | Amber Lyne Salesky | Massage Therapist | 601 Hwy 20, Newport, WA 99156 | 2007-03-12 |
| 1124159900 | Pend Oreille County Public Hospital District No 1 | Clinic/Center | 100 S Scott, Newport, WA 99156 | 2007-03-07 |
| 1558405381 | Bonnie D Bliss | Chiropractor | 601 State Route 20, Newport, WA 99156 | 2007-02-16 |
| Find all providers in zip 99156 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720621733 | Newport Dental Associates P.C. | Clinic/Center | 11 Catherine St Unit D, Newport, RI 02840-3497 | 2019-10-22 |
| 1891393427 | Douglas A Chadwick Dds PC | Clinic/Center | 123 Se Douglas St, Newport, OR 97365-4426 | 2020-10-15 |
| 1407489826 | Dana Matlock, Dds, LLC | Clinic/Center | 123 Se Douglas St, Newport, OR 97365-4426 | 2020-02-13 |
| 1437506888 | Newport Family Dental, Plc | Clinic/Center | 494 Highland Ave, Newport, VT 05855-4919 | 2016-05-16 |
| 1447518154 | Dr James D. Windell, Dmd | Clinic/Center | 135 Nw 15th St, Newport, OR 97365-2348 | 2012-05-01 |
| 1104906379 | Michael J Roscher Dds, Pa | Clinic/Center | 1590 Hastings Ave, Newport, MN 55055-1646 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700671 | K.lee, Dds, Pllc. | Clinic/Center | 20709 Mountain Hwy E # 102, Spanaway, WA 98387-8580 | 2020-11-06 |
| 1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
| 1356942684 | Healthy Smiles Northwest | Clinic/Center | 11808 18th St Se, Lake Stevens, WA 98258-2046 | 2020-11-03 |
| 1306446240 | Christine A Woodward, Dds, Pllc | Clinic/Center | 45860 Main St, Concrete, WA 98237 | 2020-10-29 |
| 1215535695 | Ellingsen Henneberg Pllc | Clinic/Center | 2607 S Southeast Blvd Ste B210, Spokane, WA 99223-7614 | 2020-10-16 |
| 1174121792 | Evolve Dental LLC | Clinic/Center | 4410 194th St Sw Ste A, Lynnwood, WA 98036-5598 | 2020-10-15 |
| 1326646035 | Natasha Habib Dds Ps | Clinic/Center | 1025 153rd St Se Ste 103, Mill Creek, WA 98012-4051 | 2020-10-14 |
| 1386241636 | Mellissa Ilgen, Dds, Pllc | Clinic/Center | 26114 Illinois Ave Ne, Kingston, WA 98346-7674 | 2020-10-08 |
| 1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
| 1164039731 | Consolidated Dental Three | Clinic/Center | 19221 108th Ave Se Ste 2, Renton, WA 98055-7369 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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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.