Dale Kenneth Travis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5037 Issued in WA

Practice address

17416 135TH Ave NE
Woodinville, WA 98072

Phone

(425) 483-5959

NPI assigned

Dec 4, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dale K Travis DDS PS

  • General Practice Dentistry
  • Woodinville, WA
  • NPI 1932203502
  NPD (past) Authorized official

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1184021297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980720606",
            "telephone_number": "425-483-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17416 135TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "98072",
            "telephone_number": "425-483-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "DALE",
        "middle_name": "KENNETH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Thompson, LMP
• Cathy L Thosath, DPM
• Thrifty Payless Inc
• Marilyn Eubank Tompkins, DRPH, MSN
• Nitosha Torgison, DC
• Tree of Health Integrative Medicine PLLC
• Sylvia Tripp, D.C.
• Kaylee Trocano, A.T.C
• Ann M Uherek, PSYD
• Rosathe Vanessa Underwood

• General Practice Dentistry in Woodinville, WA
• Providers in Woodinville, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.