NPIMap

Organization Active NPI

Edward G. Sutter DDS

Doing business as Seneca Dental

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1093142929
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE2891 Issued in WA
Legal business name
EDWARD G. SUTTER DDS
Doing business as
Seneca Dental
Practice address
1422 Seneca St
Seattle, WA 98101-2830
Phone
(206) 323-7659
Fax
(206) 323-4668
NPI assigned
Oct 9, 2013
Last updated
Oct 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Dr. Edward George Sutter Sr., DDSNPI 1730120734
Title
Owner
Phone
(206) 323-7659

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE8997 WA
General Practice Dentistry 1223G0001X DE2853 WA
General Practice Dentistry 1223G0001X DE2891 WA Primary
Periodontics 1223P0300X DE4402 WA
Dental Hygienist 124Q00000X DH60180349 WA
Dental Hygienist 124Q00000X DH1320 WA
Dental Assistant 126800000X D160274140 WA
Dental Assistant 126800000X D160028280 WA
Dental Assistant 126800000X D160029707 WA
Dental Assistant 126800000X D160030003 WA

Addresses

Primary practice location

1422 Seneca St
Seattle, WA 98101-2830

Mailing address

1422 Seneca St
Seattle, WA 98101-2830
Phone (206) 323-7659

Other names 1

  • Seneca Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Broadway Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1422 Seneca St
Seattle, WA 98101
Phone (206) 323-7659

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1093142929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 SENECA ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012830",
            "telephone_number": "206-323-7659",
            "fax_number": "206-323-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 SENECA ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012830",
            "telephone_number": "206-323-7659",
            "fax_number": "206-323-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD G. SUTTER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "SUTTER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-323-7659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE8997",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE2853",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE2891",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE4402",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH60180349",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH1320",
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "WA",
            "license": "D160274140",
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "WA",
            "license": "D160028280",
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "WA",
            "license": "D160029707",
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "WA",
            "license": "D160030003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seneca Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 9, 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.