Docare Dental Corp.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DOCARE DENTAL CORP.

Practice address

6720 Fort Dent Way Ste 120
Tukwila, WA 98188-2580

Phone

(206) 242-4121

Fax

(206) 242-4113

NPI assigned

Jan 22, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jeff Leipham

Title

President

Phone

(425) 736-5521

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1356764633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 FORT DENT WAY STE 120",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882580",
            "telephone_number": "206-242-4121",
            "fax_number": "206-242-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 FORT DENT WAY STE 120",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882580",
            "telephone_number": "206-242-4121",
            "fax_number": "206-242-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCARE DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "LEIPHAM",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-736-5521",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Guy Dire, D.D.S
• Abigail Marie Dittmeyer, BS
• Giovanna DO Carmo Dutra
• Nikki DO
• Alyssa CHI Doan
• Gurpreet Doel
• Don Seidemann, MSW,Inc
• Brittany Donahue
• Sheshi Devi Donepudi
• Aubrey Josephine Marie Doolittle

• Pediatric Dentistry in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.