David James Petras

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

221 1St Ave W Ste 200
Seattle, WA 98119-4223

Phone

(757) 677-6050

Fax

(866) 408-0670

NPI assigned

Mar 27, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1053162271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 REEDS LANDING CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131386",
            "telephone_number": "757-677-6050",
            "fax_number": "866-408-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 1ST AVE W STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194223",
            "telephone_number": "757-677-6050",
            "fax_number": "866-408-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRAS",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Petitt, LICSW
• Angela Marie Petlow, ARNP
• Elizabeth Petosa
• Gavan Petracco
• Eileen Patricia Petralia, FNP
• Oana Madalina Petrescu, MD
• Buddie Petrey
• Olivia Petrey, DC
• Stephen Petricca
• Kyle C Petricek

• Durable Medical Equipment & Medical Supplies in Seattle, WA
• Providers in Seattle, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.