SHI YAN (NPI# 1992922272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992922272 |
Entity Type | Individual |
Full Name | SHI YAN |
Credential | DENTURIST |
Practice Address |
3100 Se Old Olympic Hwy Shelton WA 98584-7731 |
Practice Telephone | 3604271784 |
Practice Fax Number | 3604271818 |
Mailing Telephone | 3604271784 |
Mailing Fax Number | 3604271818 |
Enumeration Date | 2007-04-19 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122400000X | Denturist | DN00000236 | WA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 5035415 | 05 |
Street Address |
3100 SE OLD OLYMPIC HWY |
City | SHELTON |
State | WA |
Zip Code | 98584-7731 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215000666 | Steven R Peters | Denturist | 3100 Se Old Olympic Hwy, Shelton, WA 98584 | 2006-11-15 |
1063969533 | Brittany Anne Peschek | Denturist | 3100 Se Old Olympic Hwy, Shelton, WA 98584 | 2016-09-01 |
1053501668 | Fenris Scudder | Dentist | 3100 Se Old Olympic Hwy, Shelton, WA 98584-7731 | 2007-07-30 |
1023235397 | Caden Ngo | Dentist | 3100 Se Old Olympic Hwy, Shelton, WA 98584-7731 | 2007-04-19 |
1043379480 | Kamilche Dental Center | Denturist | 3100 Se Old Olympic Hwy, Shelton, WA 98584-7731 | 2006-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
Find all providers in zip 98584 |
Taxonomy Code | 122400000X |
Grouping | Dental Providers |
Classification | Denturist |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609122183 | New Smile Denture, Inc. | Denturist | 114 W. Alder Street, Shelton, WA 98584 | 2012-08-02 |
1215000666 | Steven R Peters | Denturist | 3100 Se Old Olympic Hwy, Shelton, WA 98584 | 2006-11-15 |
1063969533 | Brittany Anne Peschek | Denturist | 3100 Se Old Olympic Hwy, Shelton, WA 98584 | 2016-09-01 |
1992056634 | Alexandra Garland | Denturist | 114 W. Alder Street, Shelton, WA 98584 | 2012-09-20 |
1043379480 | Kamilche Dental Center | Denturist | 3100 Se Old Olympic Hwy, Shelton, WA 98584-7731 | 2006-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427689421 | Tri-cities Denture Studio Pllc | Denturist | 3909 Creekside Loop Ste 110, Yakima, WA 98902-4880 | 2020-01-29 |
1447894811 | Michael Hu | Denturist | 430 N West Ave Ste 3, Arlington, WA 98223-1539 | 2019-10-29 |
1265999494 | Sagebrush Dental LLC | Denturist | 1114 N Mission St Ste C, Wenatchee, WA 98801-6711 | 2019-02-24 |
1295299113 | Stephanie Jean Hemenway | Denturist | 209 W Main Ave., Morton, WA 98356 | 2019-01-24 |
1538633664 | Trang Phung | Denturist | 1242 State Ave Ste G, Marysville, WA 98270-3672 | 2019-01-11 |
1053884338 | Juan Edward Berlanga | Denturist | 654 N Rochester St, Tacoma, WA 98406-1724 | 2019-01-09 |
1346713765 | Cody M Dunivin | Denturist | 129 Valley Meadows Dr, Chehalis, WA 98532-8652 | 2019-01-08 |
1841765682 | Andrew Payne | Denturist | 714 N Chelan Ave, Wenatchee, WA 98801-2069 | 2018-10-08 |
1154811982 | Jayson Allen Laney | Denturist | 4001 Colby Ave Ste 2, Everett, WA 98201-6208 | 2018-05-17 |
1932697117 | Jason Lee Alsbury | Denturist | 1715 W Kennewick Ave, Kennewick, WA 99336-3378 | 2018-04-24 |
Find all providers with the same taxonomy |
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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.