Active NPI
Frank S Sciabica, DDS PS
- Dentist
- Bellevue, WA
National Provider Identifier
1376656579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7219
- Practice address
- 1418 112TH Ave NE Ste 200
Bellevue, WA 98004-3718 - Phone
- (425) 453-4353
- Fax
- (425) 453-4355
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 7219 | WA | Primary |
Addresses
Primary practice location
1418 112TH Ave NE Ste 200
Bellevue, WA 98004-3718
Mailing address
1418 112TH Ave NE Ste 200
Bellevue, WA 98004-3718
Phone (425) 453-4353
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 |
|---|---|---|---|
| 7219 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1376656579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1418 112TH AVE NE STE 200",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043718",
"telephone_number": "425-453-4353",
"fax_number": "425-453-4355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 112TH AVE NE STE 200",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043718",
"telephone_number": "425-453-4353",
"fax_number": "425-453-4355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIABICA",
"first_name": "FRANK",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DDS PS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "7219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.