Kelley M. Washington DDS,PS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

9721 Issued in WA

Legal business name

KELLEY M. WASHINGTON DDS,PS

Doing business as

Washington Dental Clinic

Practice address

4543 Rainier Ave S
Seattle, WA 98118-1656

Phone

(206) 722-8211

Fax

(206) 722-3249

NPI assigned

Dec 15, 2010

Last updated

Dec 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelley Michael Washington, DDSNPI 1578866406

Title

President/Dentist

Phone

(206) 722-8211

Specialties & licenses 1

Addresses

Other names 1

• Washington Dental Clinic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelley Michael Washington, DDS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1578866406
  NPD (past) Authorized official
• Michael Beverly Washington, DDS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1780716985
  NPD (past)

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1174826937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4543 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181656",
            "telephone_number": "206-722-8211",
            "fax_number": "206-722-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4543 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181656",
            "telephone_number": "206-722-8211",
            "fax_number": "206-722-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY M. WASHINGTON DDS,PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "206-722-8211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "9721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Marie Keller, D.O.
• Samuel Keller, MD
• Sarah Olivia Keller
• Sean Keller
• Thomas Leo Keller
• Daniel Kelley-Petersen, MAED, NCC, LMHC
• Kelley-Ross & Assoc Inc (Kelley-Ross Pharmacy at the Polyclinic)
• Kelley-Ross & Assoc Inc (Union Center Pharmacy)
• Kelley-Ross & Assoc Inc (Capitol Hill Pharmacy)
• Kelley-Ross & Assoc Inc (Kelley-Ross Pharmacy at the Polyclinic)

• 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 Dec 15, 2010; 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.