Active NPI
Elizabeth Kubicek Velan, DMD
- Pediatric Dentistry
- Seattle, WA
National Provider Identifier
1306958160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE00010226
- Practice address
- 622 NE 74TH Street
Seattle, WA 98115 - Phone
- (206) 755-8507
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DE00010226 | WA | Primary |
Addresses
Primary practice location
622 NE 74TH Street
Seattle, WA 98115
Mailing address
6222 NE 74TH Street
The Center for Pediatric Dentistry
Seattle, WA 98115
Phone (206) 755-8507
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00010226 | WA | MD | Pediatric Dentist |
Interoperability endpoints
- evelan4386@direct.seattlechildrens.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1306958160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6222 NE 74TH STREET",
"address_2": "THE CENTER FOR PEDIATRIC DENTISTRY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98115",
"telephone_number": "206-755-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 NE 74TH STREET",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98115",
"telephone_number": "206-755-8507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAN",
"first_name": "ELIZABETH",
"middle_name": "KUBICEK",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE00010226",
"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 Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.