JOSHUA MERRELL, DDS, PLLC (NPI# 1245893601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245893601 |
Entity Type | Organization |
Organization Name | JOSHUA MERRELL, DDS, PLLC |
Practice Address |
501 Tyee Dr Sw Tumwater WA 98512-7313 |
Mailing Address |
6202 Ne 70th Ct Vancouver WA 98661-1971 |
Practice Telephone | 2019191426 |
Mailing Telephone | 2019191426 |
Enumeration Date | 2019-04-20 |
Last Update Date | 2019-04-20 |
Authorized Official Name | JOSHUA LOGAN MERRELL (OWNER) |
Authorized Official Telephone | 2019191426 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | JOSHUA MERRELL, DDS, PLLC | 501 Tyee Dr Sw, Tumwater, WA 98512-7313 |
Street Address |
501 TYEE DR SW |
City | TUMWATER |
State | WA |
Zip Code | 98512-7313 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578780979 | Jerry Wayne Moody | Dentist | 501 Tyee Dr Sw, Tumwater, WA 98512-7313 | 2007-04-19 |
1043316334 | Joseph Thomas Bradley | Dentist | 501 Tyee Dr Sw, Tumwater, WA 98512-7313 | 2006-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
1205465622 | Falina Marie Luce | Counselor | 3285 Ferguson St, Olympia, WA 98512 | 2020-04-07 |
1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
1700432507 | Maria E Zavala Negrete | Behavior Technician | 3285 Ferguson Street Southwest, Tumwater, WA 98512 | 2019-08-16 |
1669026951 | Bradley Allen Labrador | Social Worker | 3285 Ferguson St, Sw, Tumwater, WA 98512 | 2019-07-25 |
1033762893 | Janice Lapreal Swanzey | Licensed Practical Nurse | 3285 Ferguson Lane St Sw, Olympia, WA 98512 | 2019-07-22 |
1821569195 | Linda Marie Moffitt | Registered Nurse | 7741 Littlerock Rd. Sw, Tumwater, WA 98512 | 2018-12-16 |
1427534577 | Matthew Hart | Occupational Therapist | 2620 Rw Johnson Boulevard Southwest Suite 112, Tumwater, WA 98512 | 2018-07-12 |
1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
Find all providers in zip 98512 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255947180 | Ajaipal Dhanoa Pllc | Clinic/Center | 6015 Capitol Blvd Sw, Tumwater, WA 98501-5268 | 2020-09-16 |
1912223777 | Rick Jude, Dmd, Ps | Clinic/Center | 344 Cleveland Ave Se, Suite H, Tumwater, WA 98501-3342 | 2010-04-19 |
1487978250 | Dr Adam P Cramer P C | Clinic/Center | 1502 Bishop Rd Sw, Tumwater, WA 98512-7354 | 2010-03-22 |
1366688822 | Edward A. Fletcher, D.d.s., P.s. | Clinic/Center | 100 Dennis St Sw Ste G, Tumwater, WA 98501-6523 | 2009-01-05 |
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 |
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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.