NPIMap

Organization Active NPI

Demetri P. Ginosatis, DMD, MSD, PLLC

  • Periodontics
  • Woodinville, WA
National Provider Identifier
1093444200
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
DEMETRI P. GINOSATIS, DMD, MSD, PLLC
Practice address
17320 135TH Ave NE Ste B
Woodinville, WA 98072-8565
Phone
(425) 402-1246
NPI assigned
Jun 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Dr. Demetri P Ginosatis, DMD, MSDNPI 1457957698
Title
Owner
Phone
(425) 238-5500

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)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

17320 135TH Ave NE Ste B
Woodinville, WA 98072-8565

Mailing address

17320 135TH Ave NE Ste B
Woodinville, WA 98072-8565

Other names 1

  • Woodinville Periodontics and Implant Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

17320 135th Ave NE
Ste B
Woodinville, WA 98072
Phone (425) 402-1246

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1093444200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17320 135TH AVE NE STE B",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17320 135TH AVE NE STE B",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728565",
            "telephone_number": "425-402-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMETRI P. GINOSATIS, DMD, MSD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "GINOSATIS",
        "authorized_official_first_name": "DEMETRI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-238-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodinville Periodontics and Implant Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.