Organization Active NPI

Dr. Eran J. Gutkin DMD PS

  • Dental Clinic/Center
  • Seattle, WA
National Provider Identifier
1295068468
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60102369 Issued in WA
Legal business name
DR. ERAN J. GUTKIN DMD PS
Practice address
3203 W McGraw St
Suite 201
Seattle, WA 98199-3236
Phone
(206) 283-0964
NPI assigned
Sep 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Dr. Eran James Gutkin, DMDNPI 1073745154
Title
President
Phone
(206) 283-0964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE60102369 WA Primary

Addresses

Primary practice location

3203 W McGraw St
Suite 201
Seattle, WA 98199-3236

Mailing address

3203 W McGraw St
201
Seattle, WA 98199-3236
Phone (206) 283-0964

National Provider Directory

National Provider Directory

Locations

3203 W McGraw St
Ste 201
Seattle, WA 98199
Phone (206) 283-0964

Practitioners & affiliated clinicians

Practitioners 2

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": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1295068468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 W MCGRAW ST",
            "address_2": "201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993236",
            "telephone_number": "206-283-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 W MCGRAW ST",
            "address_2": "SUITE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993236",
            "telephone_number": "206-283-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ERAN J. GUTKIN DMD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "GUTKIN",
        "authorized_official_first_name": "ERAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-283-0964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60102369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 31, 2012; 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.