Active NPI
Fedora Katz DDS MSD PLLC
Doing business as Silverlake Orthodontics
- Dental Clinic/Center
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- FEDORA KATZ DDS MSD PLLC
- Doing business as
- Silverlake Orthodontics
- Practice address
- 10627 19TH Ave SE Ste a
Everett, WA 98208-5147 - Phone
- (818) 744-1473
- NPI assigned
- Aug 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Gedalia
- Title
- Manager
- Phone
- (818) 744-1473
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
10627 19TH Ave SE Ste a
Everett, WA 98208-5147
Mailing address
10627 19TH Ave SE Ste a
Everett, WA 98208-5147
Phone (818) 744-1473
Other practice location 1
2631 172nd St NE Unit 106
Marysville, WA 98271-4826
Phone (360) 386-7009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720513096 | Other | WA | NPPES |
Other names 1
- Silverlake Orthodontics
National Provider Directory
National Provider DirectoryLocations
10627 19th Ave SE
#A
Everett, WA 98208
Phone (818) 744-1473
2631 172nd St NE
Unit 106
Marysville, WA 98271
Phone (360) 386-7009
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Everett, WA
- NPI 1720513096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727740800000",
"number": "1396427456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10627 19TH AVE SE STE A",
"city": "EVERETT",
"state": "WA",
"postal_code": "982085147",
"telephone_number": "818-744-1473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10627 19TH AVE SE STE A",
"city": "EVERETT",
"state": "WA",
"postal_code": "982085147",
"telephone_number": "818-744-1473"
}
],
"practiceLocations": [
{
"address_1": "2631 172nd St NE Unit 106",
"address_purpose": "LOCATION",
"city": "Marysville",
"state": "WA",
"postal_code": "982714826",
"country_code": "US",
"telephone_number": "360-386-7009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FEDORA KATZ DDS MSD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-07",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A",
"authorized_official_last_name": "GEDALIA",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "818-744-1473"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1720513096",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Silverlake Orthodontics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Silverlake Orthodontics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.