Organization Active NPI

Fedora Katz DDS MSD PLLC

Doing business as Silverlake Orthodontics

  • Dental Clinic/Center
  • Everett, WA
National Provider Identifier
1396427456
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Oct 1, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1720513096OtherWANPPES

Other names 1

  • Silverlake Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.