Jon L Way, DDS, MS,PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE00006239 Issued in WA

Practice address

4500 Sand Point Way NE Ste 208
Seattle, WA 98105-3925

Phone

(206) 525-4777

Fax

(206) 525-8677

NPI assigned

Oct 25, 2006

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Seattle Pediatric Dentists

  • Pediatric Dentistry
  • Seattle, WA
  • NPI 1487152518
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1073697116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6527 SUNNYSIDE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981035422",
            "telephone_number": "206-523-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SAND POINT WAY NE STE 208",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053925",
            "telephone_number": "206-525-4777",
            "fax_number": "206-525-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAY",
        "first_name": "JON",
        "middle_name": "L",
        "credential": "DDS, MS,PLLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00006239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Watts, LMP
• Kevin L Waugh, DC
• Patricia F. Waugh, MS, CCC-SLP
• Nicholas Steven Wax, PHARMACIST
• Cameron C Way, AC-PNP
• Carol Louise Waymack, M.D.
• Alexa Wayman, MA, LMHC
• Tracy M Wayman, DDS
• Benjamin Eric Wayment, M.D.
• Sarah S Waymouth

• Pediatric Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.