Active NPI
Debra M. Enneking, D.D.S.,P.L.L.C.
- General Practice Dentistry
- Seattle, WA
National Provider Identifier
1295941235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7066
- Legal business name
- DEBRA M. ENNEKING, D.D.S.,P.L.L.C.
- Practice address
- 2425 33Rd Ave W Ste A1
Seattle, WA 98199-3255 - Phone
- (206) 283-7844
- Fax
- (206) 283-9233
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Debra M Enneking, D.D.S.
- Title
- Doctor
- Phone
- (206) 283-7844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7066 | WA | Primary |
Addresses
Primary practice location
2425 33Rd Ave W Ste A1
Seattle, WA 98199-3255
Mailing address
2425 33Rd Ave W Ste A1
Seattle, WA 98199-3255
Phone (206) 283-7844
National Provider Directory
National Provider DirectoryLocations
2425 33rd Ave W
Ste A1
Seattle, WA 98199
Phone (206) 283-7844
Practitioners & affiliated clinicians
Practitioners 1
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": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295941235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 33RD AVE W STE A1",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981993255",
"telephone_number": "206-283-7844",
"fax_number": "206-283-9233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 33RD AVE W STE A1",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981993255",
"telephone_number": "206-283-7844",
"fax_number": "206-283-9233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBRA M. ENNEKING, D.D.S.,P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ENNEKING",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "206-283-7844",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "7066",
"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 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.