NPIMap

Organization Active NPI

Eid, Jaber, Jassar PLLC

  • Pediatric Dentistry
  • Federal Way, WA
National Provider Identifier
1063191245
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
EID, JABER, JASSAR PLLC
Practice address
926 S 348TH St
Federal Way, WA 98003-7021
Phone
(360) 636-1900
NPI assigned
Jul 14, 2023
Organization subpart
Yes
Parent organization
EID, JABER, JASSAR PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Rebecca Oconnor
Title
HR
Phone
(360) 636-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

926 S 348TH St
Federal Way, WA 98003-7021

Mailing address

1717 Olympia Way Ste 108
Longview, WA 98632-3929
Phone (360) 636-1900

National Provider Directory

National Provider Directory
Tax ID family
Eid Jaber Jassar PLLC7 organizations share this tax ID, including this one
Part of
Eid Jaber Jassar PLLC

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1063191245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 OLYMPIA WAY STE 108",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323929",
            "telephone_number": "360-636-1900",
            "fax_number": "360-636-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 S 348TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037021",
            "telephone_number": "360-636-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EID, JABER, JASSAR PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EID, JABER, JASSAR PLLC",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "360-636-1900"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.