Individual provider Active NPI

Seemalaxmi Chawan, AEGD

  • General Practice Dentistry
  • Federal Way, WA
National Provider Identifier
1396254660
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60553532 Issued in WA
Practice address
164 SW Campus Dr Ste 101
Federal Way, WA 98023-7926
Phone
(235) 432-8942
NPI assigned
Sep 29, 2017
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60553532 WA Primary

Addresses

Primary practice location

164 SW Campus Dr Ste 101
Federal Way, WA 98023-7926

Mailing address

15566 NE 22ND PL Unit 553
Bellevue, WA 98007-3878
Phone (310) 948-6273

Other practice location 1

15566 NE 22nd Pl Unit 553
Bellevue, WA 98007-3878
Phone (310) 948-6273

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

Practice roles

OrganizationSpecialtyStatusNew patients
Familia Dental Moline LLC General Practice PastSince Jun 27, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1396254660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15566 NE 22ND PL UNIT 553",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073878",
            "telephone_number": "310-948-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SW CAMPUS DR STE 101",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980237926",
            "telephone_number": "235-432-8942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15566 NE 22nd Pl Unit 553",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980073878",
            "country_code": "US",
            "telephone_number": "310-948-6273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAWAN",
        "first_name": "SEEMALAXMI",
        "credential": "AEGD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60553532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.