Active NPI
Smile Matters Inc.
- Dental Clinic/Center
- Seattle, WA
National Provider Identifier
1093054579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 6386
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alberta Quaidoo, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1091650 | Medicaid | WA | |
| 6386 | Other | WA | WA STATE DENTAL LICENSE # |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Seattle, WA
- NPI 1396950879
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.