NPIMap

Organization Active NPI

Scca-Oral Medicine

Doing business as University Dentist

  • Chronic Disease Hospital
  • Seattle, WA
National Provider Identifier
1215051305
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
Legal business name
SCCA-ORAL MEDICINE
Doing business as
University Dentist
Practice address
825 Eastlake Ave E
Suite G6900
Seattle, WA 98109-4405
Phone
(206) 288-1333
Fax
(206) 288-1332
NPI assigned
Mar 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Edmond L. Truelove, DDS, MSD
Title
Chair & Professor
Phone
(206) 616-8794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X Primary

Addresses

Primary practice location

825 Eastlake Ave E
Suite G6900
Seattle, WA 98109-4405

Mailing address

PO Box 357131
Seattle, WA 98195-7131
Phone (206) 616-8794

Other names 1

  • University Dentist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
U of W Speech Hear CL48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

Locations

825 Eastlake Ave E
Ste G6900
Seattle, WA 98109
Phone (206) 288-1333

Practitioners & affiliated clinicians

Practitioners 4

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215051305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357131",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981957131",
            "telephone_number": "206-616-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 EASTLAKE AVE E",
            "address_2": "SUITE G6900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094405",
            "telephone_number": "206-288-1333",
            "fax_number": "206-288-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCCA-ORAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRUELOVE",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHAIR & PROFESSOR",
        "authorized_official_telephone_number": "206-616-8794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, 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.