Active NPI
Seattle Emergency Dental Care, USA Inc
- General Practice Dentistry
- Bellevue, WA
National Provider Identifier
1093097057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE60065986
- Legal business name
- SEATTLE EMERGENCY DENTAL CARE, USA INC
- Doing business as
- Emergency Dental Care, USA
- Practice address
- 12816 SE 38TH St Ste 1
Bellevue, WA 98006-1327 - Phone
- (206) 521-9911
- NPI assigned
- Sep 15, 2011
- Organization subpart
- Yes
- Parent organization
- SEATTLE EMERGENCY DENTAL CARE, USA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Obeng, DDS
- Title
- Owner/President
- Phone
- (402) 597-1186
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE60065986 | WA | Primary |
Addresses
Primary practice location
12816 SE 38TH St Ste 1
Bellevue, WA 98006-1327
Mailing address
2605 S 84TH St
Omaha, NE 68124-3116
Phone (402) 597-1186
Other names 1
- Emergency Dental Care, USA
National Provider Directory
National Provider Directory- Tax ID family
- Emergency Dental Care USA
- Part of
- Emergency Dental Care USA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Seattle, WA
- NPI 1073748125
Locations
2605 S 84th St
Omaha, NE 68124
Phone (402) 597-2777
12816 SE 38th St
Ste 1
Bellevue, WA 98006
Phone (206) 521-9911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316044800000",
"number": "1093097057",
"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": "402-597-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12816 SE 38TH ST STE 1",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061327",
"telephone_number": "206-521-9911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEATTLE EMERGENCY DENTAL CARE, USA INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SEATTLE EMERGENCY DENTAL CARE, USA",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A",
"authorized_official_last_name": "OBENG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "402-597-1186",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE60065986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Emergency Dental Care, USA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.