Active NPI
Tim Bachman, DMD
- Endodontics
- Tukwila, WA
National Provider Identifier
1194948158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 7738
- Practice address
- 411 Strander Blvd Ste 205
Tukwila, WA 98188-2959 - Phone
- (206) 394-7668
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 7738 | WA | Primary |
Addresses
Primary practice location
411 Strander Blvd Ste 205
Tukwila, WA 98188-2959
Mailing address
411 Strander Blvd Ste 205
Tukwila, WA 98188-2959
Phone (206) 394-7668
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 |
|---|---|---|---|
| 7738 | WA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444608000000",
"number": "1194948158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 STRANDER BLVD STE 205",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882959",
"telephone_number": "206-394-7668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 STRANDER BLVD STE 205",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882959",
"telephone_number": "206-394-7668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHMAN",
"first_name": "TIM",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2015-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WA",
"license": "7738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.