DR. ALVIN S WATANABE (NPI# 1285675652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285675652 |
Entity Type | Individual |
Full Name | DR. ALVIN S WATANABE |
Credential | DMD |
Practice Address |
14201 Ne 20th Ave Suite 1101 Vancouver WA 98686-6410 |
Mailing Address |
14201 Ne 20th Ave Suite 2204 Vancouver WA 98686-6410 |
Practice Telephone | 3608820222 |
Practice Fax Number | 3605463355 |
Mailing Telephone | 3605718181 |
Mailing Fax Number | 3605734029 |
Enumeration Date | 2006-06-09 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
DE5767 | WA | Dental Providers |
Street Address |
14201 NE 20TH AVE SUITE 1101 |
City | VANCOUVER |
State | WA |
Zip Code | 98686-6410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447233739 | Spencer William Southwick | Physical Therapist | 14201 Ne 20th Ave, Suite 3101, Vancouver, WA 98686-6410 | 2005-11-21 |
1427592872 | Jocelyn Mileck | Physical Therapy Assistant | 14201 Ne 20th Ave, Suite 3101, Vancouver, WA 98686-6410 | 2016-12-05 |
1093268161 | Kurt Truong, Dds, Msd, Pllc | Clinic/Center | 14201 Ne 20th Ave, Suite 3102, Vancouver, WA 98686-6410 | 2016-07-25 |
1396126850 | Dental Service, LLC | Clinic/Center | 14201 Ne 20th Ave, Suite 2204, Vancouver, WA 98686-6410 | 2015-06-10 |
1184040255 | Pivot Health Acupuncture | Clinic/Center | 14201 Ne 20th Ave, Ste #1102, Vancouver, WA 98686-6410 | 2014-03-12 |
1285998336 | Kurt Duc Truong | Dentist | 14201 Ne 20th Ave, #c-3102, Vancouver, WA 98686-6410 | 2012-07-03 |
1306165832 | Rejuvenance Therapy LLC | Physical Therapist | 14201 Ne 20th Ave, Suite 1102, Vancouver, WA 98686-6410 | 2010-05-24 |
1417287293 | Tosha Marlene Benson | Specialist | 14201 Ne 20th Ave, Suite 3101, Vancouver, WA 98686-6410 | 2009-12-30 |
1629228960 | Access Dental Plan LLC | Dentist | 14201 Ne 20th Ave, Suite 2204, Vancouver, WA 98686-6410 | 2008-09-23 |
1619141173 | Susan Mccarthy, Lac LLC | Acupuncturist | 14201 Ne 20th Ave, Suite 1102, Vancouver, WA 98686-6410 | 2008-04-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
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Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417565672 | Gideon Michael Arnett | Dentist | 811 Ne 112th Ave Ste 100, Vancouver, WA 98684-5115 | 2020-07-14 |
1144787342 | Alfordable Dental,llc | Dentist | 13720 Ne 28th St Ste A, Vancouver, WA 98682-8289 | 2019-02-23 |
1184139933 | Lalee Chialong Lo | Dentist | 918 Se 164th Ave Ste 200, Vancouver, WA 98683-9603 | 2017-12-01 |
1861918872 | Lara Kacherian | Dentist | 8720 Ne Centerpointe Dr Ste 221, Vancouver, WA 98665-1162 | 2017-08-21 |
1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
1154874196 | Monica Calderon, Dmd Ps | Dentist | 2501 Ne 134th St Ste 202, Vancouver, WA 98686-3028 | 2016-07-26 |
1043665375 | Garden City Dental | Dentist | 8311 Ne Highway 99 Ste E, Vancouver, WA 98665-8877 | 2016-04-23 |
1033465018 | Julia Gourley | Dentist | 13510 Ne 84th St Ste 105, Vancouver, WA 98682-3092 | 2012-07-27 |
1306103106 | Lenna Jeanne Ostenson | Dentist | 2702 Ne 78th St Ste 104, Vancouver, WA 98665-0664 | 2012-04-18 |
1376814178 | Dane Andersen | Dentist | 2415 Ne 134th St Ste 307, Vancouver, WA 98686-3029 | 2012-01-25 |
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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.