DR. IAN FUGER (NPI# 1962581405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962581405 |
| Entity Type | Individual |
| Full Name | DR. IAN FUGER |
| Credential | DMD |
| Practice Address |
140 E Main Street Othello WA 99344 |
| Practice Telephone | 5094885256 |
| Practice Fax Number | 5094889939 |
| Mailing Telephone | 5094885256 |
| Mailing Fax Number | 5094889939 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE00009463 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA ST DL&I # | 0164415 | 01 |
| WA | 5040654 | 05 |
| Street Address |
140 E MAIN STREET |
| City | OTHELLO |
| State | WA |
| Zip Code | 99344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750507166 | Carissa L Russell | Dental Hygienist | 140 E Main Street, Othello, WA 99344 | 2007-04-17 |
| 1245350693 | Brad E Sorenson | Dentist | 140 E Main Street, Othello, WA 99344 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031613 | Robert Lee Mccrorie | Physician Assistant | Cbha 1515 East Columbia Street, Othello, WA 99344 | 2017-09-04 |
| 1134504145 | Body Kneads Massage Therapy | Preferred Provider Organization | 445 Cedar Blvd., Suite C, Othello, WA 99344 | 2015-07-21 |
| 1457756421 | Weeping Ridge Estate Adult Family Home Inc | Custodial Care Facility | 2455 W. Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1275938243 | Weeping Ridge West, Inc. | Custodial Care Facility | 2455 West Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1437572617 | Sterling Gerber | Physical Therapist | 315 Nth 14th Ave., Othello, WA 99344 | 2014-01-24 |
| 1346688330 | Amaris Suarez | Counselor | 425 E. Main Street, Suite 600, Othello, WA 99344 | 2013-06-12 |
| 1669679387 | Jessica Brooks Smith | Pharmacist | 140 E. Main St, Othello, WA 99344 | 2007-06-27 |
| 1174688030 | Percy N Erdmann | General Practice | 1207 E Main, Othello, WA 99344 | 2006-12-22 |
| 1194819540 | Richard A Maywald | Counselor | 425 E Main Suite 600, Othello, WA 99344 | 2006-10-02 |
| 1255381372 | Rodolfo Antonio Dabalos | Chiropractor | 361 E Main St, Othello, WA 99344 | 2006-05-11 |
| Find all providers in zip 99344 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768957 | Steven Pitcher | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-09-04 |
| 1144889353 | Manuel Jimenez | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2019-06-11 |
| 1720579378 | Nisha Sharoff Ashwin | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2018-05-18 |
| 1114385044 | Nichole Tomblin | Dentist | 1515 E Columbia St, Dental Department, Othello, WA 99344-9934 | 2016-02-06 |
| 1295139152 | Keng-hao Chang | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2014-10-21 |
| 1568801868 | Janet Romero | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2013-06-19 |
| 1568741189 | Isaac Walter King | Dentist | 140 E Main St, Othello, WA 99344-1040 | 2011-08-13 |
| 1962790006 | Luis Pedro Miron Carcamo | Dentist | 1515 E Columbia St, Othello, WA 99344-1846 | 2011-07-11 |
| 1427343680 | Sonia Veronica Idrogo | Dentist | 140 E Main St, Othello, WA 99344-1040 | 2011-06-16 |
| 1487884086 | Noah Robert Frerichs | Dentist | 140 E Main St, Othello, WA 99344-1040 | 2009-07-17 |
| Find all providers in OTHELLO | ||||
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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.