Active NPI
Anthony R Mecham, DMD
- Dentist
- Seattle, WA
National Provider Identifier
1447573233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DR 60389407
- Practice address
- 1959 NE Pacific St
Dept of Oral Medicine
Seattle, WA 98195 - Phone
- (206) 543-3194
- NPI assigned
- Mar 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DR 60389407 | WA | Primary |
| Dentist | 122300000X | 1439 | AK | |
| General Practice Dentistry | 1223G0001X | D4268 | ID |
Addresses
Primary practice location
1959 NE Pacific St
Dept of Oral Medicine
Seattle, WA 98195
Mailing address
1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 543-3194
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1439 | AK | MD | Dentist |
| DR 60389407 | WA | MD | Dentist |
| D4268 | ID | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374537600000",
"number": "1447573233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "206-543-3194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "DEPT OF ORAL MEDICINE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98195",
"telephone_number": "206-543-3194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MECHAM",
"first_name": "ANTHONY",
"middle_name": "R",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-08",
"last_updated": "2013-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DR 60389407",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AK",
"license": "1439",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D4268",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.