Puget Sound Sedation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE10114 Issued in WA

Legal business name

PUGET SOUND SEDATION

Practice address

5304 Wallingford Ave N
Seattle, WA 98103-6147

Phone

(206) 790-0405

NPI assigned

Nov 8, 2011

Organization subpart

No

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

Authorized official

Name

Jon Martin, DDS

Title

Owner

Phone

(206) 790-0405

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1124305818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 WALLINGFORD AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036147",
            "telephone_number": "206-790-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 WALLINGFORD AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036147",
            "telephone_number": "206-790-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND SEDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-790-0405",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE10114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puget Sound Neighborhood Health Centers
• Puget Sound Neighborhood Health Centers
• Puget Sound Neighborhood Health Centers
• Puget Sound Psychotherapy, PS
• Puget Sound Rehabilitation Medicine
• Puget Sound Therapeutic Massage
• Puget Sound VA Health Care System
• Chandrea Pugh
• Gregory L. Pugh, MSW
• Jessica Pugh

• Dental Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.