Pacific Northwest Dental Anesthesia Services LLC

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

GA60587955 Issued in WA

Legal business name

PACIFIC NORTHWEST DENTAL ANESTHESIA SERVICES LLC

Practice address

9004 W Shorewood Dr
Apt 519
Mercer Island, WA 98040-3245

Phone

(425) 214-3960

NPI assigned

Sep 6, 2015

Last updated

Sep 6, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Geoffrey Timothy Bean, DDS

Title

Owner

Phone

(425) 214-3960

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441497600000",
    "number": "1003284134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9004 W SHOREWOOD DR",
            "address_2": "APT 519",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403245",
            "telephone_number": "425-214-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9004 W SHOREWOOD DR",
            "address_2": "APT 519",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403245",
            "telephone_number": "425-214-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST DENTAL ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-06",
        "last_updated": "2015-09-06",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-214-3960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "WA",
            "license": "GA60587955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaya Wynn O'Connor, MSW, LICSW
• Olympic Physical Therapy, Inc.
• Orthodontic Associates of Mercer Island
• Orthodontic Associates of Mercer Island
• Anna Margaret Orton, LMHC
• Jahna Pahl, LMHC-A, LMFT
• Maki Park
• Jeffrey S Parton
• Charmy Patel, DPT
• Karishma Patel, PT

• Dental Anesthesiology in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Dental Anesthesiology in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.