Active NPI
Maureen Elia, DENTIST
- Dentist
- Bellevue, WA
National Provider Identifier
1194853614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE8930
- Practice address
- 1130 140TH Ave NE # 100B
Bellevue, WA 98005-2974 - Phone
- (425) 746-6090
- Fax
- (425) 747-9856
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE8930 | WA | Primary |
Addresses
Primary practice location
1130 140TH Ave NE # 100B
Bellevue, WA 98005-2974
Mailing address
10306 NE 194TH St
Bothell, WA 98011-2998
Phone (425) 260-5606
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE8930 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ez Dent Denture Clinic Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194853614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10306 NE 194TH ST",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980112998",
"telephone_number": "425-260-5606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 140TH AVE NE # 100B",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052974",
"telephone_number": "425-746-6090",
"fax_number": "425-747-9856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIA",
"first_name": "MAUREEN",
"name_prefix": "Dr.",
"credential": "DENTIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE8930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
- Elder and Adult Day Services
- Elder and Adult Day Services
- Stephanie Jan Eldringhoff, LMFT
- Samer Sead Elgezawi, LMP
- Elia Wellness Services LLC
- Elite International LLC (Elite Home Care)
- Elizabeth Holland PHD PLLC
- Elizabeth S Finnessy II DDS PLLC (Bellevue Dental Health)
- Mouna Elkhadiri, PSY.D.
- Anna Elkin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.