Active NPI
Amber D. Amelang-Severin, DDS,MS
- Endodontics
- Bellingham, WA
National Provider Identifier
1376704718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DE60735368
- Practice address
- 1310 Broadway Ste 1B
Bellingham, WA 98225-2953 - Phone
- (360) 734-4777
- NPI assigned
- Jun 18, 2008
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DE60735368 | WA | Primary |
Addresses
Primary practice location
1310 Broadway Ste 1B
Bellingham, WA 98225-2953
Mailing address
4 Clear Lake CT
Bellingham, WA 98229-7905
Phone (970) 449-2924
Other practice location 1
130 S 15th St Ste 101
Mount Vernon, WA 98274-4569
Phone (360) 428-4393
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60735368 | WA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew Eric Carlson, DDS, PLLC | Endodontics | Current | Accepting new patients |
Locations
1310 Broadway
Ste 1B
Bellingham, WA 98225
Phone (360) 734-4777
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.
-
dba Mount Baker Root Canal Specialists
- Endodontics
- Bellingham, WA
- NPI 1538865696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1376704718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CLEAR LAKE CT",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982297905",
"telephone_number": "970-449-2924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 BROADWAY STE 1B",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982252953",
"telephone_number": "360-734-4777"
}
],
"practiceLocations": [
{
"address_1": "130 S 15th St Ste 101",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "982744569",
"country_code": "US",
"telephone_number": "360-428-4393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMELANG-SEVERIN",
"first_name": "AMBER",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "DDS,MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WA",
"license": "DE60735368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.