Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548326259 Individual Practitioner Male Practitioner

Dr. John Robert Divis , DDS

Dentist - General Practice • Wenatchee, WA

Professional Overview & Biography Verified Profile Summary

Dr. John Divis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Wenatchee, WA. Practice services are available at 417 N MISSION ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

417 N Mission St

Wenatchee, WA 988012007

Telephone 5096642920
Fax 5096631453
Associated Practice Facility / Clinic
🏢 Wenatchee Dental Arts Facility NPI 1689348583

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wenatchee, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
38 Specialists

Practicing in Wenatchee, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 00006733

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5017314 (WA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 417 N MISSION ST, WENATCHEE, WA 988012007 (Tel: 5096642920)

📍
Updated Business Mailing Address July 08, 2007

Registered at 417 N MISSION ST, WENATCHEE, WA 988012007 (Tel: 5096642920)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN DIVIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #00006733 in WA)

🟢
Initial NPI Registration & Enumeration December 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548326259
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

417 N Mission St

Wenatchee, WA 988012007

Phone: 5096642920

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.