KNUTE J HERNAS DDS PS (NPI# 1891940789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891940789 |
| Entity Type | Organization |
| Organization Name | KNUTE J HERNAS DDS PS |
| Other Organization Name | HERNAS DENTAL |
| Practice Address |
100 3rd St Suite 3 Davenport WA 99122-5008 |
| Practice Telephone | 5097256281 |
| Practice Fax Number | 5097256282 |
| Mailing Telephone | 5097256281 |
| Mailing Fax Number | 5097256282 |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |
| Authorized Official Name | DR. KNUTE J HERNAS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5097256281 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
601835986 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5036009 | 05 |
| Other Name | Type Code |
|---|---|
| Hernas Dental | Doing Business As Name - Organization |
| Street Address |
100 3RD ST SUITE 3 |
| City | DAVENPORT |
| State | WA |
| Zip Code | 99122-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497205439 | Lincoln County Hospital District #3 / North Basin Medical Clinics | Health Maintenance Organization | 100 3rd St, Davenport, WA 99122-5008 | 2016-10-13 |
| 1356795959 | Leah Olvera | Massage Therapist | 100 3rd St, Davenport, WA 99122-5008 | 2016-04-20 |
| 1124331996 | Providence Health & Services | Internal Medicine | 100 3rd St, Davenport, WA 99122-5008 | 2010-07-21 |
| 1720126477 | Knute Jonathan Hernas | Dentist | 100 3rd St, Suite 3, Davenport, WA 99122-9730 | 2007-02-02 |
| 1639113830 | Lincoln County Hospital District 3 | Family Medicine | 100 3rd St, Suite 1, Davenport, WA 99122-9730 | 2006-06-16 |
| 1972547610 | Lincoln County Hospital District 3 | Family Medicine | 100 3rd St, Suite 1, Davenport, WA 99122-9730 | 2006-06-15 |
| 1821031410 | Cynthia D. Mccall | Registered Nurse | 100 3rd St, Suite 4, Davenport, WA 99122-9730 | 2006-06-13 |
| 1073554119 | Donella S. Young | Family Medicine | 100 3rd St, Suite 1, Davenport, WA 99122-9730 | 2006-06-09 |
| 1558309518 | Lincoln County Hospital District 3 | Family Medicine | 100 3rd St, Suite 1, Davenport, WA 99122-9730 | 2006-06-03 |
| 1053358465 | Deanna D. Davidson | Surgery | 100 3rd St, Suite 4, Davenport, WA 99122-9730 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387697 | Creekside Pharmacy LLC | Pharmacy | 639 Morgan Street, Davenport, WA 99122 | 2018-12-08 |
| 1366959470 | Kandis Rose Paskell | Counselor | 547 Morgan Street, Davenport, WA 99122 | 2018-01-10 |
| 1538567839 | Alyssa Fleming | Speech-Language Pathologist | 28000 Prairie Springs Drive, Davenport, WA 99122 | 2014-12-18 |
| 1477742500 | Daniel W Pitman | Counselor | 1102 8th Street, Davenport, WA 99122 | 2007-10-15 |
| 1730201856 | Capstone Behavioral Health | Counselor | 49 Park Street, Davenport, WA 99122 | 2007-04-06 |
| 1972625762 | David Lee Turner | Dentist | 707 Logan St, Davenport, WA 99122 | 2007-04-04 |
| 1982723318 | Dawn Lorraine Wilcox | Counselor | 49 Park, Unit C, Davenport, WA 99122 | 2007-03-28 |
| 1184789703 | Michael G Van Pevenage | Physical Therapist | 506 Morgan Street, Davenport, WA 99122 | 2006-12-26 |
| 1447323811 | Davenport Vision Clinic, Inc. | Optometrist | 506 8th St, Davenport, WA 99122 | 2006-11-15 |
| 1912002791 | Davenport Pharmacy Inc | Pharmacy | 525 Morgan St, Davenport, WA 99122 | 2006-09-14 |
| Find all providers in zip 99122 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336511120 | Kathryn A. Kell Dds PC | Clinic/Center | 1751 E 54th St, Davenport, IA 52807-2769 | 2015-10-20 |
| 1013184217 | Quad Cities Periodontics, LLC | Clinic/Center | 1800 E 54th St, Suite A, Davenport, IA 52807-2852 | 2008-05-15 |
| 1831110790 | Qc Family Dentistry | Clinic/Center | 2002 N Fairmount St, Davenport, IA 52804-2808 | 2006-07-23 |
| 1598759029 | Community Health Care, Inc. | Clinic/Center | 125 Scott St, Davenport, IA 52801-1130 | 2005-09-12 |
| 1558852277 | R & R Family Dentistry | Clinic/Center | 3435 Spring St Ste 2, Davenport, IA 52807-2142 | 2018-05-29 |
| 1841746633 | Davenport Family Dentistry | Clinic/Center | 707 Logan St, Davenport, WA 99122-1312 | 2016-08-31 |
| 1033378120 | William H Bausch Dds PC | Clinic/Center | 3575 Jersey Ridge Rd, Davenport, IA 52807-2292 | 2008-06-04 |
| 1518124460 | Steven P Anderson | Clinic/Center | 2208 E 52nd St, Davenport, IA 52807-2726 | 2008-05-19 |
| 1982769386 | Main Family Dental Care | Clinic/Center | 1905 N Main St, Davenport, IA 52803-2908 | 2006-12-26 |
| 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.