Organization Active NPI

Ofp, TMJ and DSM Specialists

  • Orofacial Pain Dentistry
  • Everett, WA
National Provider Identifier
1306637103
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
Legal business name
OFP, TMJ AND DSM SPECIALISTS
Practice address
10025 19TH Ave SE Ste 201
Everett, WA 98208-4275
Phone
(425) 322-1865
Fax
(425) 297-4652
NPI assigned
May 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Amit WadkeNPI 1023765393
Title
Dentist
Phone
(425) 322-1865

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
Orofacial Pain DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X2210X Primary

Addresses

Primary practice location

10025 19TH Ave SE Ste 201
Everett, WA 98208-4275

Mailing address

218 125TH PL SE Unit B
Everett, WA 98208-6467
Phone (321) 234-5552

National Provider Directory

National Provider Directory
Tax ID family
Ofp TMJ and DSM Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10025 19th Ave SE
Ste 201
Everett, WA 98208
Phone (425) 322-1865

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1306637103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 125TH PL SE UNIT B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086467",
            "telephone_number": "321-234-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 19TH AVE SE STE 201",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084275",
            "telephone_number": "425-322-1865",
            "fax_number": "425-297-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFP, TMJ AND DSM SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "WADKE",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-322-1865"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.