Organization Active NPI

Northwest Nasal Sinus Center

  • Physical Medicine & Rehabilitation Physician
  • Kirkland, WA
National Provider Identifier
1053448258
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD00047652 Issued in WA
Legal business name
NORTHWEST NASAL SINUS CENTER
Practice address
3100 Carillon PT
Kirkland, WA 98033-7306
Phone
(425) 576-1700
Fax
(425) 827-7725
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Arlene Allegra
Title
Administrator
Phone
(206) 525-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X MD00047652 WA Primary

Addresses

Primary practice location

3100 Carillon PT
Kirkland, WA 98033-7306

Mailing address

10330 Meridian Ave N
Suite 240
Seattle, WA 98133-9451
Phone (206) 525-2525

Other identifiers 1

IdentifierTypeStateIssuer
MD00047652OtherWASTATE MEDICAL LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Northwest Face3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1053448258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 MERIDIAN AVE N",
            "address_2": "SUITE 240",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339451",
            "telephone_number": "206-525-2525",
            "fax_number": "206-525-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CARILLON PT",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337306",
            "telephone_number": "425-576-1700",
            "fax_number": "425-827-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST NASAL SINUS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ALLEGRA",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "206-525-2525"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD00047652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MD00047652",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.