Active NPI
Seemalaxmi Chawan, AEGD
- General Practice Dentistry
- Federal Way, WA
National Provider Identifier
1396254660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE60553532
- 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, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familia Dental Moline LLC | General Practice | Past | 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.
-
dba Familia Dental
- Dental Clinic/Center
- Moline, IL
- NPI 1588084479
General Practice
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.