Allyson Stewart Dkeidek, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6197-15 Issued in WI

Practice address

4500 Sand Point Way NE
Suite 208
Seattle, WA 98105-3900

Phone

(206) 525-4777

NPI assigned

Mar 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Seattle Pediatric Dentists

  • Pediatric Dentistry
  • Seattle, WA
  • NPI 1487152518
  NPD (past)

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1346410719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 E HIGHLAND DR",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123323",
            "telephone_number": "716-725-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SAND POINT WAY NE",
            "address_2": "SUITE 208",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053900",
            "telephone_number": "206-525-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DKEIDEK",
        "first_name": "ALLYSON",
        "middle_name": "STEWART",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6197-15",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60124299",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011261A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33386500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33730800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33794900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008604",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pia Angelica Dizon, PHARMD
• Richard A Dizon, LMP
• David SW Djang, MD
• Eleanor V L Djang, MD
• Sylvie G Djoumessi, PMHNP-BC
• Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC
• Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC
• Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC
• Oleksandr Dmitriiev
• Alisa DO

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.