Facial Dynamics International

Primary specialty

DentistTaxonomy code 122300000X

License

025103 Issued in WA

Legal business name

FACIAL DYNAMICS INTERNATIONAL

Practice address

3720 California Ave SW
Seattle, WA 98116-3754

Phone

(206) 938-1113

Fax

(206) 937-7395

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Michael Keenan, DDSNPI 1821126202

Title

Ceo

Phone

(206) 938-1113

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Robert Michael Keenan, DDS

  • Dentist
  • Seattle, WA
  • NPI 1821126202
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1104910447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163754",
            "telephone_number": "206-938-1113",
            "fax_number": "206-937-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163754",
            "telephone_number": "206-938-1113",
            "fax_number": "206-937-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACIAL DYNAMICS INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-938-1113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "025103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Fabrizio
• Nicholas Fabula
• Fabulous Massage
• Lauren Facchini, MS
• Nicole Barbara-Twyla Face, PA-C
• Facial Surgery Center of Seattle
• Cynthia Loraine Fadden, ARNP
• Benjamin Drew Fader
• Darrell Jonathan Fader, MD
• Paula Suzanne Fadhl-Pohl, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.