NPIMap

Organization Active NPI

Dale E Epper MD

  • Family Medicine Physician
  • Renton, WA
National Provider Identifier
1194714790
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
WA027325 Issued in WA
Legal business name
DALE E EPPER MD
Doing business as
Highlands Family Practice
Practice address
4444 Sunset Blvd
Dale E Epper MD Dba Highlands Family Practice
Renton, WA 98059
Phone
(425) 255-2113
Fax
(425) 255-1909
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dale E Epper, MDNPI 1700803400
Title
Pres
Phone
(425) 255-2113

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X WA027325 WA Primary

Addresses

Primary practice location

4444 Sunset Blvd
Dale E Epper MD Dba Highlands Family Practice
Renton, WA 98059

Mailing address

PO Box 13684
Dale E Epper Dba Highlands Family Practice
Seattle, WA 98198-1010
Phone (425) 255-2113

Other identifiers 1

IdentifierTypeStateIssuer
1105980MedicaidWA

Other names 1

  • Highlands Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

4444 NE Sunset Blvd
Ste 1
Renton, WA 98059
Phone (425) 255-2113

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194714790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13684",
            "address_2": "DALE E EPPER DBA HIGHLANDS FAMILY PRACTICE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981981010",
            "telephone_number": "425-255-2113",
            "fax_number": "425-255-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 SUNSET BLVD",
            "address_2": "DALE E EPPER MD DBA HIGHLANDS FAMILY PRACTICE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98059",
            "telephone_number": "425-255-2113",
            "fax_number": "425-255-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE E EPPER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EPPER",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "425-255-2113",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "WA027325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1105980",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlands Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.