Organization Active NPI

Gregory a Demopulos MD, PLLC

  • Orthopaedic Surgery Physician
  • Seattle, WA
National Provider Identifier
1104063932
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD0000000000 Issued in WA
Legal business name
GREGORY A DEMOPULOS MD, PLLC
Practice address
1420 5TH Ave Ste 2600
Seattle, WA 98101-2613
Phone
(206) 676-5000
Fax
(206) 682-0551
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Gregory A Demopulos, MD
Title
Owner
Phone
(206) 676-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X MD0000000000 WA Primary

Addresses

Primary practice location

1420 5TH Ave Ste 2600
Seattle, WA 98101-2613

Mailing address

1420 5TH Ave Ste 2600
Seattle, WA 98101-2613
Phone (206) 676-5000

National Provider Directory

National Provider Directory

Locations

1420 5th Ave
Ste 2600
Seattle, WA 98101
Phone (206) 676-5000

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1104063932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 5TH AVE STE 2600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012613",
            "telephone_number": "206-676-5000",
            "fax_number": "206-682-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 5TH AVE STE 2600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012613",
            "telephone_number": "206-676-5000",
            "fax_number": "206-682-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY A DEMOPULOS MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "DEMOPULOS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-676-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD0000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 15, 2009; 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.