Active NPI
Marta Becker DDS, PLLC
- Dental Clinic/Center
- Federal Way, WA
National Provider Identifier
1104470459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MARTA BECKER DDS, PLLC
- Practice address
- 33915 1St Way S Ste 100
Federal Way, WA 98003-6396 - Phone
- (253) 517-7780
- NPI assigned
- Jul 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marta Becker
- Title
- Pediatric Dentist
- Phone
- (253) 517-7780
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
33915 1St Way S Ste 100
Federal Way, WA 98003-6396
Mailing address
33915 1St Way S Ste 100
Federal Way, WA 98003-6396
Phone (253) 517-7780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2015274 | Medicaid | WA |
Other names 1
- Kids On 1st Dentistry
National Provider Directory
National Provider DirectoryLocations
33915 1st Way S
Ste 100
Federal Way, WA 98003
Phone (253) 517-7780
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Federal Way, WA
- NPI 1467502104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564012800000",
"number": "1104470459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33915 1ST WAY S STE 100",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036396",
"telephone_number": "253-517-7780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33915 1ST WAY S STE 100",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036396",
"telephone_number": "253-517-7780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTA BECKER DDS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-25",
"last_updated": "2019-07-25",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "MARTA",
"authorized_official_title_or_position": "PEDIATRIC DENTIST",
"authorized_official_telephone_number": "253-517-7780",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2015274",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kids On 1st Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.