AUBURN AVENUE DENTAL (NPI# 1730687781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730687781 |
| Entity Type | Organization |
| Organization Name | AUBURN AVENUE DENTAL |
| Practice Address |
130 3rd St Ne Auburn WA 98002-4013 |
| Practice Telephone | 2538333680 |
| Practice Fax Number | 2538339581 |
| Mailing Telephone | 2538333680 |
| Mailing Fax Number | 2538339581 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |
| Authorized Official Name | DIPTI SRIVASTAVA (OWNER DENTIST) |
| Authorized Official Telephone | 2538333680 |
| Authorized Official Credential | DDSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DE60034827 | WA | Ambulatory Health Care Facilities |
| Street Address |
130 3RD ST NE |
| City | AUBURN |
| State | WA |
| Zip Code | 98002-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992892426 | Jyotsana Walia | Family Medicine | 130 3rd St Ne, Auburn, WA 98002-4013 | 2006-10-06 |
| 1003062845 | Dipti Srivastava | Dentist | 130 3rd St Ne, Auburn, WA 98002-4013 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756451 | Natalia Marquez Avalos | Interpreter | 1001 37th St Se, Apt 2, Auburn, WA 98002 | 2020-09-24 |
| 1871065607 | Carrie Ann Sasser | Registered Nurse | 1005 37th Street Se, Auburn, WA 98002 | 2018-12-18 |
| 1730658881 | Nataliya Guga | Physical Therapy Assistant | 1323 17th St Se Apt A, Auburn, WA 98002 | 2018-11-19 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1265950554 | Allison Ortwein | Occupational Therapist | 2830 I St. Ne, Auburn, WA 98002 | 2017-09-06 |
| 1184171167 | Emily Faber | Counselor | 505 29th St, Auburn, WA 98002 | 2016-09-07 |
| 1255887907 | Elaine Priscilla Lucas | Counselor | 29th St Se Chartley House, 505, Auburn, WA 98002 | 2016-08-31 |
| 1871955823 | Melissa Mae Gustafson | Massage Therapist | 4220 A. St. Se, Suite 103, Auburn, WA 98002 | 2016-03-28 |
| Find all providers in zip 98002 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295339 | Liles Family Dentistry, LLC | Clinic/Center | 2234 Ogletree Village Ln, Auburn, AL 36830-2967 | 2020-05-05 |
| 1376175190 | Eid, Jaber, Jassar, Pllc | Clinic/Center | 4018 A St Se, Auburn, WA 98002-3858 | 2020-02-10 |
| 1568934313 | 42 North Dental Care Pllc | Clinic/Center | 1 Willow Run Unit 1b, Auburn, ME 04210-8501 | 2018-12-18 |
| 1386121473 | Joshua D Mathis Dds LLC | Clinic/Center | 2311 Bent Creek Rd., Ste 500, Auburn, AL 36830 | 2018-07-23 |
| 1699273938 | Auburn Dental Care | Clinic/Center | 1102 Outlet Collection Way Sw Ste 101, Auburn, WA 98001-6574 | 2018-01-31 |
| 1083138416 | Raymond L. Bolt, Dmd PC | Clinic/Center | 1550 Opelika Rd Ste 6-167, Auburn, AL 36830-7618 | 2017-07-27 |
| 1124459896 | Bridget Reilly | Clinic/Center | 210 South Hoopes Ave, Auburn, NY 13021 | 2013-12-06 |
| 1437423928 | Polsky Dds &virk Dmd Ms Ps | Clinic/Center | 1002 15th St Sw, Suite 215, Auburn, WA 98001-6502 | 2012-02-29 |
| 1053934273 | Matthew Harris Dmd Professional Corporation | Clinic/Center | 11010 Combie Rd Ste 208, Auburn, CA 95602-8948 | 2020-05-21 |
| 1861030983 | Steve Keejin Hwang Dds Pllc | Clinic/Center | 701 M St Ne Ste 104, Auburn, WA 98002-4500 | 2019-12-19 |
| Find all providers in AUBURN | ||||
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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.