SPRING STREET DENTISTRY
NPI 1962657429
Clinic/Center - Dental in Friday Harbor, WA
- Organization
- Clinic/Center
- Dental
- CLIA Number: 50D2233950
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 04-04-2028
About SPRING STREET DENTISTRY
This page provides the complete NPI Profile along with additional information for Spring Street Dentistry, a provider established in Friday Harbor, Washington operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1962657429 assigned on November 2008. The practitioner's primary taxonomy code is 261QD0000X with license number 7617 (WA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Spring Street Dentistry. The authorized official of this NPI record is Dr. Susan Alexis Kiraly Dds (Director)
- NPI
- 1962657429 Verify this NPI
- Provider Legal Name
- SUSAN A. KIRALY, DDS, PS
- Other Organization Name
- SPRING STREET DENTISTRY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 815 SPRING ST FRIDAY HARBOR, WA 98250
- Location Phone
- (360) 378-5550
- Location Fax
- (360) 370-5192
- Mailing Address
- 815 SPRING ST FRIDAY HARBOR, WA 98250
- Mailing Phone
- (360) 378-5550
- Mailing Fax
- (360) 370-5192
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-25-2008
- Last Update Date
- 11-25-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 7617
- License State
- WA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 602263331 | OTHER (01) | WA | STATE UNIFIED BUSINESS ID |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2233950
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- August 26, 2021
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- LOUIS PRUSSACK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Spring Street Dentistry to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SPRING STREET DENTISTRY
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962657429, enumerated as an "organization" on November 25, 2008.
The provider is located at 815 SPRING ST FRIDAY HARBOR, WA 98250 and the phone number is (360) 378-5550.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
