NPIMap

Organization Active NPI

Shane T Ness DDS PLLC

  • Dental Clinic/Center
  • Redmond, WA
National Provider Identifier
1306399381
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10561 Issued in WA
Legal business name
SHANE T NESS DDS PLLC
Practice address
23515 NE Novelty Hill Rd Ste 209
Redmond, WA 98053-5505
Phone
(425) 898-8699
Fax
(425) 898-1310
NPI assigned
Jul 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Dr. Shane T Ness, DDSNPI 1306958814
Title
Owner
Phone
(425) 898-8699

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 10561 WA Primary

Addresses

Primary practice location

23515 NE Novelty Hill Rd Ste 209
Redmond, WA 98053-5505

Mailing address

23515 NE Novelty Hill Rd Ste 209
Redmond, WA 98053-5505
Phone (425) 898-8699

Other identifiers 1

IdentifierTypeStateIssuer
10561OtherWASTATE LICENSE

Other names 1

  • Ness Family Dentistry Doing business as

National Provider Directory

National Provider Directory

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": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1306399381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23515 NE NOVELTY HILL RD STE 209",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980535505",
            "telephone_number": "425-898-8699",
            "fax_number": "425-898-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23515 NE NOVELTY HILL RD STE 209",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980535505",
            "telephone_number": "425-898-8699",
            "fax_number": "425-898-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANE T NESS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "NESS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-898-8699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "10561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10561",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ness Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.