DR. ASHWIN BALAKRISHNAN NAMBISAN (NPI# 1578090932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578090932 |
| Entity Type | Individual |
| Full Name | DR. ASHWIN BALAKRISHNAN NAMBISAN |
| Credential | BDS, MPH |
| Practice Address |
512 Ne 81st St Ste G Vancouver WA 98665-8134 |
| Practice Telephone | 3607359422 |
| Practice Fax Number | 3607359404 |
| Mailing Telephone | 3607359422 |
| Mailing Fax Number | 3607359404 |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2018-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DE60636562 | WA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1510 Se Everett Mall Way, Everett, WA 982082863 | 7602089540 | |
| 7604 Ne 5th Ave Ste 114, Vancouver, WA 986658200 | 3607359422 | 3607359404 |
| Street Address |
512 NE 81ST ST STE G |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98665-8134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669589008 | Herma Ranola | Dentist | 512 Ne 81st St Ste G, Vancouver, WA 98665-8134 | 2006-08-23 |
| 1629555487 | Anh-thu Do Nguyen | Dentist | 512 Ne 81st St Ste G, Vancouver, WA 98665-8134 | 2018-07-24 |
| 1598200610 | Hamid Azizi | Dentist | 512 Ne 81st St Ste G, Vancouver, WA 98665-8134 | 2016-12-28 |
| 1629117445 | Linda Kwon Ridder | Dentist | 512 Ne 81st St Ste G, Vancouver, WA 98665-8134 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584877 | Always Smiles Dentistry | Dentist | 910 Ne Minnehaha St #12, Vancouver, WA 98665 | 2018-10-19 |
| 1255811196 | Rachael Hickert | Counselor | 1179 Northeast 95th Street, Vancouver, WA 98665 | 2018-08-20 |
| 1063899011 | Edward Michael Borromeo | Massage Therapist | 8500 Ne Hazel Dell Ave Apt. B4, Vancouver, WA 98665 | 2015-04-29 |
| 1033460811 | Gretchen Ann Bell | Speech-Language Pathologist | 511 Ne Anderson Road, Vancouver, WA 98665 | 2012-09-20 |
| 1831322379 | Diana Miriam Copeland | Massage Therapist | 517 Ne 85th Cir, Vancouver, WA 98665 | 2009-09-01 |
| 1073782116 | Roxanne Marie Brown | Contractor | 7902 Ne St. Johns Rd. Ste 105a, Vancouver, WA 98665 | 2008-02-22 |
| 1588726657 | Emil V. Knysh | Contractor | 1307-b Ne 78th. Street, Suite #3, Vancouver, WA 98665 | 2006-12-15 |
| 1275611501 | Jerry L Reams | Contractor | 1307b Ne 78th St., Suite 3, Vancouver, WA 98665 | 2006-11-02 |
| 1053409961 | Richard C. Sheron Dmd Ps | Dentist | 1200 Ne 99th Street, Vancouver, WA 98665 | 2006-10-10 |
| 1316048887 | Frank Roberts Mossman | Optometrist | 7600 Hazeldell Ave, Vancouver, WA 98665 | 2006-09-26 |
| Find all providers in zip 98665 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346478906 | Jeremy H Diehl, D.d.s., M.s.d., PC | Dentist | 2702 Ne 78th St, Suite 108, Vancouver, WA 98665-0665 | 2009-06-23 |
| 1538239728 | Munib Y. Derhalli | Dentist | 300 Se 120th Ave Ste 500, Vancouver, WA 98683-4020 | 2006-11-08 |
| 1154417491 | Steven David Hokett | Dentist | 14411 Ne 20th Ave Ste 111, Vancouver, WA 98686-6431 | 2006-10-05 |
| 1295844900 | Wendel Family Dental Centre Ps | Dentist | 7012 Ne 40th St, Vancouver, WA 98661-3052 | 2006-08-29 |
| 1356781496 | Colin Stuart Graser | Dentist | 14201 Ne 20th Ave Ste B200, Vancouver, WA 98686-6412 | 2013-07-03 |
| 1700164969 | Behnam Fakhravar | Dentist | 322 Se 192nd Ave Ste 100, Vancouver, WA 98683-9679 | 2011-07-21 |
| 1023248291 | Jeremy Howard Diehl | Dentist | 2702 Ne 78th St, Suite 108, Vancouver, WA 98665-0665 | 2009-07-21 |
| 1205041514 | Periodontal Concepts | Dentist | 300 Se 120th Ave Ste 500, Vancouver, WA 98683-4020 | 2007-05-11 |
| 1003936501 | Melissa Grant | Dentist | 7725 Ne Highway 99, Vancouver, WA 98665-8834 | 2007-03-29 |
| 1689713885 | Bob A Sonnes | Dentist | 406 Se 131st Ave, Ste 305c, Vancouver, WA 98683-4004 | 2007-02-05 |
| Find all providers in VANCOUVER | ||||
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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.