NPIMap

Organization Active NPI

Jason Pehling DDS Ms PC

Doing business as TMJ Orofacial Disorders Center

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1376598847
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00008992 Issued in WA
Legal business name
JASON PEHLING DDS MS PC
Doing business as
TMJ Orofacial Disorders Center
Practice address
2111 N Northgate Way
Ste 221
Seattle, WA 98133-9018
Phone
(206) 363-8240
Fax
(206) 363-8301
NPI assigned
May 23, 2006
Last updated
Apr 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Dr. Jason P Pehling, DDS MSNPI 1962457036
Title
President
Phone
(206) 363-8240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DE00008992 WA Primary

Addresses

Primary practice location

2111 N Northgate Way
Ste 221
Seattle, WA 98133-9018

Mailing address

2111 N Northgate Way
Ste 221
Seattle, WA 98133
Phone (206) 363-8240

Other identifiers 3

IdentifierTypeStateIssuer
93200OtherWAREGENCE
47570OtherWAPREMERA DENTAL
SB930OtherWAPREMERA MEDICAL

Other names 1

  • TMJ Orofacial Disorders Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1376598847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 N NORTHGATE WAY",
            "address_2": "STE 221",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98133",
            "telephone_number": "206-363-8240",
            "fax_number": "206-363-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 N NORTHGATE WAY",
            "address_2": "STE 221",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339018",
            "telephone_number": "206-363-8240",
            "fax_number": "206-363-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON PEHLING DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "PEHLING",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-363-8240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "93200",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA DENTAL",
            "identifier": "47570",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA MEDICAL",
            "identifier": "SB930",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TMJ Orofacial Disorders Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 25, 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.