Organization Active NPI

Daniel Travelle DDS and Kathleen Travelle DDS, PLLC

  • Dental Clinic/Center
  • Seattle, WA
National Provider Identifier
1265873806
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60219557 Issued in WA
Legal business name
DANIEL TRAVELLE DDS AND KATHLEEN TRAVELLE DDS, PLLC
Practice address
115 S 177TH PL
Seattle, WA 98148-1782
Phone
(206) 242-1500
NPI assigned
Jul 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Dr. Daniel Patrick Travelle, D.D.S.
Title
Dentist
Phone
(206) 643-3191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE60219557 WA Primary

Addresses

Primary practice location

115 S 177TH PL
Seattle, WA 98148-1782

Mailing address

115 S 177TH PL
Seattle, WA 98148-1782
Phone (206) 242-1500

Other names 1

  • Travelle Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

115 S 177th Pl
Seattle, WA 98148
Phone (206) 242-1500

Practitioners & affiliated clinicians

Practitioners 3

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": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1265873806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S 177TH PL",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981481782",
            "telephone_number": "206-242-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S 177TH PL",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981481782",
            "telephone_number": "206-242-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL TRAVELLE DDS AND KATHLEEN TRAVELLE DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "TRAVELLE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-643-3191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60219557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Travelle Family Dentistry",
            "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 Jul 11, 2013; 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.