NPIMap

Organization Active NPI

Beatty and Cottam PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Burien, WA
National Provider Identifier
1275836801
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DE60172592 Issued in WA
Legal business name
BEATTY AND COTTAM PLLC
Practice address
15515 3Rd Ave SW
#E
Burien, WA 98166-2553
Phone
(206) 248-3035
Fax
(206) 248-1463
NPI assigned
Dec 21, 2010
Organization subpart
Yes
Parent organization
BEATTY AND COTTAM PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Sara M Crosby
Title
Practice Administrator
Phone
(206) 258-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DE60172592 WA Primary

Addresses

Primary practice location

15515 3Rd Ave SW
#E
Burien, WA 98166-2553

Mailing address

15515 3Rd Ave SW Ste E
Burien, WA 98166-2553
Phone (206) 248-3035

Other practice location 1

350 S 38th Ct Ste 220
Renton, WA 98055-5777
Phone (425) 235-4266

Other practice location 2

22739 SE 29th St
Sammamish, WA 98075-9532
Phone (425) 295-7300

Other practice location 3

4744 41st Ave SW Ste 107
Seattle, WA 98116-4566
Phone (206) 938-8572

National Provider Directory

National Provider Directory
Tax ID family
Beatty and Cottam PLLC4 organizations share this tax ID, including this one
Part of
Beatty and Cottam PLLC

Other organizations with this tax ID 3

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

Locations

15515 3rd Ave SW
Ste E
Burien, WA 98166
Phone (206) 248-3035

350 S 38th Ct
Ste 220
Renton, WA 98055
Phone (425) 235-4266

Practitioners & affiliated clinicians

Practitioners 5

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": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1275836801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15515 3RD AVE SW STE E",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662553",
            "telephone_number": "206-248-3035",
            "fax_number": "206-248-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15515 3RD AVE SW",
            "address_2": "#E",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662553",
            "telephone_number": "206-248-3035",
            "fax_number": "206-248-1463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 S 38th Ct Ste 220",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555777",
            "country_code": "US",
            "telephone_number": "425-235-4266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22739 SE 29th St",
            "address_purpose": "LOCATION",
            "city": "Sammamish",
            "state": "WA",
            "postal_code": "980759532",
            "country_code": "US",
            "telephone_number": "425-295-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4744 41st Ave SW Ste 107",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981164566",
            "country_code": "US",
            "telephone_number": "206-938-8572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEATTY AND COTTAM PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEATTY AND COTTAM PLLC",
        "enumeration_date": "2010-12-21",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "206-258-2010"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE60172592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.