Active NPI
David Jay Hoffman, MD
- Family Medicine Physician
- Seattle, WA
National Provider Identifier
1174545917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7324
- Practice address
- 2025 1St Ave Ste 900
Seattle, WA 98121-2154 - Phone
- (206) 374-1563
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 60170584 | WA | |
| Family Medicine Physician | 207Q00000X | 7324 | MT | Primary |
Addresses
Primary practice location
2025 1St Ave Ste 900
Seattle, WA 98121-2154
Mailing address
3833 N Winnifred St
Tacoma, WA 98407-2721
Phone (406) 208-6767
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05481 | Other | MT | BLUE CROSS BLUE SHIELD MT |
| 980759 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7324 | MT | MD | Family Medicine Physician |
| 60170584 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1174545917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3833 N WINNIFRED ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984072721",
"telephone_number": "406-208-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 1ST AVE STE 900",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981212154",
"telephone_number": "206-374-1563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "DAVID",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "60170584",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "7324",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MT",
"identifier": "05481",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "980759",
"state": "MT"
}
],
"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 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.