Organization Active NPI

Emergency Dental Care USA

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1073748125
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60065986 Issued in WA
Legal business name
EMERGENCY DENTAL CARE USA
Practice address
509 Olive Way
Suite 1320
Seattle, WA 98101-1720
Phone
(206) 521-9911
Fax
(206) 521-9915
NPI assigned
May 19, 2009
Last updated
May 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Dr. Micheal Obeng, DDS
Title
President/Owner
Phone
(402) 597-2777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60065986 WA Primary

Addresses

Primary practice location

509 Olive Way
Suite 1320
Seattle, WA 98101-1720

Mailing address

2605 S 84TH St
Omaha, NE 68124-3116
Phone (402) 597-2777

National Provider Directory

National Provider Directory
Tax ID family
Seattle Emergency Dental Care USA Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

509 Olive Way
Ste 1320
Seattle, WA 98101
Phone (206) 521-9911

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": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1073748125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 S 84TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243116",
            "telephone_number": "402-597-2777",
            "fax_number": "402-597-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "SUITE 1320",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-521-9911",
            "fax_number": "206-521-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY DENTAL CARE USA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "OBENG",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "402-597-2777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60065986",
            "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 May 19, 2009; 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.