Organization Active NPI

Seattle Emergency Dental Care, USA Inc

  • General Practice Dentistry
  • Bellevue, WA
National Provider Identifier
1093097057
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60065986 Issued in WA
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, USAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emergency Dental Care USA2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.