NPIMap

Organization Active NPI

R. Craig Eng DDS

  • Dentist
  • Seattle, WA
National Provider Identifier
1063865434
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00006090 Issued in WA
Legal business name
R. CRAIG ENG DDS
Practice address
9639 28TH Ave SW
Seattle, WA 98126-4101
Phone
(206) 935-6060
Fax
(206) 932-7088
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Dr. Ronald Craig Eng, DDSNPI 1316152739
Title
Owner
Phone
(206) 935-6060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 00006090 WA Primary

Addresses

Primary practice location

9639 28TH Ave SW
Seattle, WA 98126-4101

Mailing address

PO Box 46879
Seattle, WA 98146-0879
Phone (206) 935-6060

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1063865434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46879",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981460879",
            "telephone_number": "206-935-6060",
            "fax_number": "206-932-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9639 28TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981264101",
            "telephone_number": "206-935-6060",
            "fax_number": "206-932-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. CRAIG ENG DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "ENG",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-935-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "00006090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.