Etheridge Family Dentistry

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

ETHERIDGE FAMILY DENTISTRY

Practice address

3130 E Madison St Ste 103
Seattle, WA 98112-4221

Phone

(206) 323-0990

NPI assigned

Aug 1, 2013

Last updated

Aug 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Liu

Title

Office Manager

Phone

(206) 323-0990

Specialties & licenses 3

Addresses

Locations

Practitioners 2

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.

• Ty William Etheridge, D.D.S

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1720202401
  NPD (past)
• Brent Spencer, DDS

  • Dentist
  • Seattle, WA
  • NPI 1578916730
  NPD (past)

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1093147068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 E MADISON ST STE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124221",
            "telephone_number": "206-323-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 E MADISON ST STE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124221",
            "telephone_number": "206-323-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHERIDGE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-323-0990"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taja Estrada, PH.D.
• Felecity Estrella, PHARMD
• Ali Etemad, DDS
• Ethereal Anesthesia PLLC
• Ethereal Emdr PLLC
• Ty William Etheridge, D.D.S
• Ethiopian Community in Seattle
• Bradley M Etier
• Anusha Reddy Etikala, BDS, MS
• Laura Adrienne Etling

• Endodontics in Seattle, WA
• Providers in Seattle, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.