Individual provider Active NPI

Wayne R. Pazina, D.D.S.

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1306906698
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00004966 Issued in WA
Practice address
13344 1St Ave NE
Suite #204
Seattle, WA 98125-3059
Phone
(206) 365-3773
Fax
(206) 365-0273
NPI assigned
Dec 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00004966 WA Primary

Addresses

Primary practice location

13344 1St Ave NE
Suite #204
Seattle, WA 98125-3059

Mailing address

13344 1St Ave NE Ste 204
Seattle, WA 98125-3059
Phone (206) 365-3773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1306906698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13344 1ST AVE NE STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253059",
            "telephone_number": "206-365-3773",
            "fax_number": "206-365-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13344 1ST AVE NE",
            "address_2": "SUITE #204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253059",
            "telephone_number": "206-365-3773",
            "fax_number": "206-365-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZINA",
        "first_name": "WAYNE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-09",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00004966",
            "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 Dec 18, 2015; 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.