Organization Active NPI

David S. Shao D.M.D. PLLC

Doing business as Rose Hill Dentistry

  • General Practice Dentistry
  • Kirkland, WA
National Provider Identifier
1295959039
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10151 Issued in WA
Legal business name
DAVID S. SHAO D.M.D. PLLC
Doing business as
Rose Hill Dentistry
Practice address
8532 122ND Ave NE
Kirkland, WA 98033-5831
Phone
(425) 822-4100
Fax
(425) 822-4300
NPI assigned
Apr 12, 2007
Last updated
Nov 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Dr. David Shao
Title
Office Administrator
Phone
(425) 822-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10151 WA Primary

Addresses

Primary practice location

8532 122ND Ave NE
Kirkland, WA 98033-5831

Mailing address

8532 122ND Ave NE
Kirkland, WA 98033-5831
Phone (425) 822-4100

Other names 1

  • Rose Hill Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1295959039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8532 122ND AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335831",
            "telephone_number": "425-822-4100",
            "fax_number": "425-822-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8532 122ND AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335831",
            "telephone_number": "425-822-4100",
            "fax_number": "425-822-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. SHAO D.M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "SHAO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "425-822-4100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "10151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Hill Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.