Organization Active NPI

Sue Kim Vetter, DDS, PLLC

  • Dentist
  • Seattle, WA
National Provider Identifier
1376960021
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE8536 Issued in WA
Legal business name
SUE KIM VETTER, DDS, PLLC
Practice address
2101 N 34TH St Ste 170
Seattle, WA 98103-9177
Phone
(206) 547-4131
Fax
(206) 547-8157
NPI assigned
Mar 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Dr. Sue Kim Vetter, DDSNPI 1699894691
Title
Owner/ Dentist
Phone
(206) 547-4131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE8536 WA Primary

Addresses

Primary practice location

2101 N 34TH St Ste 170
Seattle, WA 98103-9177

Mailing address

2101 N 34TH St Ste 170
Seattle, WA 98103-9177
Phone (206) 547-4131

National Provider Directory

National Provider Directory

Locations

2101 N 34th St
Ste 170
Seattle, WA 98103
Phone (206) 547-4131

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1376960021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N 34TH ST STE 170",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981039177",
            "telephone_number": "206-547-4131",
            "fax_number": "206-547-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N 34TH ST STE 170",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981039177",
            "telephone_number": "206-547-4131",
            "fax_number": "206-547-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE KIM VETTER, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "206-547-4131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE8536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 19, 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.