Individual provider Active NPI

Mark Drangsholt, DDS, MSD

  • Dentist
  • Seattle, WA
National Provider Identifier
1033208384
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00005928 Issued in WA
Practice address
1959 NE Pacific St
HSB - B221
Seattle, WA 98185-0001
Phone
(206) 685-2937
Fax
(206) 616-8577
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00005928 WA Primary

Addresses

Primary practice location

1959 NE Pacific St
HSB - B221
Seattle, WA 98185-0001

Mailing address

1959 NE Pacific St
Box 357131
Seattle, WA 98185-0001
Phone (206) 685-2937

Other identifiers 1

IdentifierTypeStateIssuer
1000865MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050426000221 WA Practitioner - Oral Surgery 0244279719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uw School of DentistryGroup PAC ID 3678948478, 19 clinicians

Practice addresses (Care Compare)

1959 NE Pacific St
Seattle, WA 98195-6365
Phone (206) 616-6996

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Washington CurrentSince Jan 1, 2005 Accepting new patients
Uw School of Dentistry Dentist CurrentSince Jun 27, 2023 Accepting new patients
University of Washington Current Accepting new patients
University of Washington CurrentSince Jan 1, 2005 Accepting new patients

Locations

1959 NE Pacific St
#B221
Seattle, WA 98195
Phone (206) 685-2937

4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 221-1700

1959 NE Pacific St
#357131
Seattle, WA 98195
Phone (206) 221-7182

1959 NE Pacific St
Rm B221
Seattle, WA 98195
Phone (206) 685-2937

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

Interoperability endpoints

  • Direct secure messaging: mdrangsholt96749@direct.ehre.uwmedicine.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1033208384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "BOX 357131",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981850001",
            "telephone_number": "206-685-2937",
            "fax_number": "206-616-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "HSB - B221",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981850001",
            "telephone_number": "206-685-2937",
            "fax_number": "206-616-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRANGSHOLT",
        "first_name": "MARK",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00005928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000865",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.