Active NPI
Shreya Ketan Jumani, DDS
- Dentist
- Seattle, WA
National Provider Identifier
1336554450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60477733
- Practice address
- 7021 Sand Point Way NE Unit B116
Seattle, WA 98115-8129 - Phone
- (425) 233-0073
- NPI assigned
- Jun 26, 2014
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE60477733 | WA | Primary |
Addresses
Primary practice location
7021 Sand Point Way NE Unit B116
Seattle, WA 98115-8129
Mailing address
7021 Sand Point Way NE Unit B116
Seattle, WA 98115-8129
Phone (425) 233-0073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 13, 2020 through Oct 13, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60477733 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaughlin - Stonebraker PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403740800000",
"number": "1336554450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7021 SAND POINT WAY NE UNIT B116",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981158129",
"telephone_number": "425-233-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7021 SAND POINT WAY NE UNIT B116",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981158129",
"telephone_number": "425-233-0073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUMANI",
"first_name": "SHREYA",
"middle_name": "KETAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-26",
"last_updated": "2014-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60477733",
"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 Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.