Active NPI
Jeffrey D Hyde, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Seattle, WA
National Provider Identifier
1093048928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DE 00010949
- Practice address
- 12530 26TH Ave NE Apt a
Seattle, WA 98125-8805 - Phone
- (206) 418-6621
- NPI assigned
- Sep 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DE 00010949 | WA | Primary |
Addresses
Primary practice location
12530 26TH Ave NE Apt a
Seattle, WA 98125-8805
Mailing address
12530 26TH Ave NE Apt a
Seattle, WA 98125-8805
Phone (206) 418-6621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE 00010949 | WA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1093048928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12530 26TH AVE NE APT A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981258805",
"telephone_number": "206-418-6621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12530 26TH AVE NE APT A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981258805",
"telephone_number": "206-418-6621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "JEFFREY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-10",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WA",
"license": "DE 00010949",
"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 Sep 10, 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.