Organization Active NPI

Smile Matters Inc.

  • Dental Clinic/Center
  • Seattle, WA
National Provider Identifier
1093054579
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6386 Issued in WA
Legal business name
SMILE MATTERS INC.
Practice address
509 Olive Way
Suite 1033
Seattle, WA 98101-1720
Phone
(800) 979-4189
Fax
(425) 278-7094
NPI assigned
Feb 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Dr. Alberta Quaidoo, DDSNPI 1396950879
Title
President
Phone
(800) 979-4189

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
Dental Clinic/Center 261QD0000X 6386 WA Primary

Addresses

Primary practice location

509 Olive Way
Suite 1033
Seattle, WA 98101-1720

Mailing address

4957 Lakemont Blvd SE Ste C416
Bellevue, WA 98006-7801
Phone (800) 979-4189

Other identifiers 2

IdentifierTypeStateIssuer
1091650MedicaidWA
6386OtherWAWA STATE DENTAL LICENSE #

National Provider Directory

National Provider Directory

Locations

4957 Lakemont Blvd SE
Ste C416
Bellevue, WA 98006

509 Olive Way
Ste 1033
Seattle, WA 98101
Phone (800) 979-4189

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1093054579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4957 LAKEMONT BLVD SE STE C416",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980067801",
            "telephone_number": "800-979-4189",
            "fax_number": "425-278-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "SUITE 1033",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "800-979-4189",
            "fax_number": "425-278-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE MATTERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "QUAIDOO",
        "authorized_official_first_name": "ALBERTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-979-4189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "6386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1091650",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE DENTAL LICENSE #",
            "identifier": "6386",
            "state": "WA"
        }
    ],
    "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 Feb 4, 2013; 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.