NPIMap

Organization Active NPI

Jennifer S Emerson D.D.S., P.L.L.C.

Doing business as North Seattle Restorative and Preventative Dentistry

  • General Practice Dentistry
  • Kenmore, WA
National Provider Identifier
1184000424
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00009626 Issued in WA
Legal business name
JENNIFER S EMERSON D.D.S., P.L.L.C.
Doing business as
North Seattle Restorative and Preventative Dentistry
Practice address
5701 NE Bothell Way
Suite 6
Kenmore, WA 98028-9400
Phone
(425) 486-2715
Fax
(425) 486-5782
NPI assigned
Aug 10, 2015
Last updated
Apr 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Dr. Jennifer S Emerson, DDSNPI 1447576848
Title
Owner
Phone
(425) 486-2715

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)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00009626 WA Primary

Addresses

Primary practice location

5701 NE Bothell Way
Suite 6
Kenmore, WA 98028-9400

Mailing address

5701 NE Bothell Way
Suite 6
Kenmore, WA 98028-9400
Phone (425) 486-2715

Other names 1

  • North Seattle Restorative and Preventative Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5701 NE Bothell Way
Ste 6
Kenmore, WA 98028
Phone (425) 486-2715

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1184000424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 NE BOTHELL WAY",
            "address_2": "SUITE 6",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980289400",
            "telephone_number": "425-486-2715",
            "fax_number": "425-486-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 NE BOTHELL WAY",
            "address_2": "SUITE 6",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980289400",
            "telephone_number": "425-486-2715",
            "fax_number": "425-486-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER S EMERSON D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-486-2715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Seattle Restorative and Preventative Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.