Individual provider Active NPI

Aarika Boggs Mitchell, DMD

  • Dentist
  • Seattle, WA
National Provider Identifier
1417488560
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60862698 Issued in WA
Practice address
6020 35TH Ave SW
Seattle, WA 98126-3002
Phone
(206) 461-6966
Fax
(206) 461-6968
NPI assigned
Mar 21, 2017
Last updated
Sep 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60862698 WA Primary

Addresses

Primary practice location

6020 35TH Ave SW
Seattle, WA 98126-3002

Mailing address

PO Box 3835
Seattle, WA 98124-3835
Phone (206) 548-3114

Other practice location 1

1629 N 45th St
Seattle, WA 98103-6701
Phone (206) 548-2964

Other names 1

  • Aarika Calisse Boggs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 11, 2019 through Jul 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winston & Letwin DDS, PLLC PastSince Jul 24, 2022 Accepting new patients
Peregrine Pacific Anesthesia PLLC Past Accepting new patients

Organizations & group practices 2

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1417488560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3835",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981243835",
            "telephone_number": "206-548-3114",
            "fax_number": "206-762-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 35TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263002",
            "telephone_number": "206-461-6966",
            "fax_number": "206-461-6968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1629 N 45th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981036701",
            "country_code": "US",
            "telephone_number": "206-548-2964",
            "fax_number": "206-632-2844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "AARIKA",
        "middle_name": "BOGGS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60862698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AARIKA",
            "last_name": "BOGGS",
            "middle_name": "CALISSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.