Organization Active NPI

Debra M. Enneking, D.D.S.,P.L.L.C.

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1295941235
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7066 Issued in WA
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

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. Debra M Enneking, D.D.S.
Title
Doctor
Phone
(206) 283-7844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.