Organization Active NPI

Tree House Dentistry for Kids

  • Pediatric Dentistry
  • Shoreline, WA
National Provider Identifier
1457896847
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE60377097 Issued in WA
Legal business name
TREE HOUSE DENTISTRY FOR KIDS
Practice address
20214 Ballinger Way NE
Shoreline, WA 98155-1144
Phone
(206) 466-6250
NPI assigned
Dec 21, 2016
Last updated
Dec 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Dr. Michael Benjamine Austin, DMD
Title
Member
Phone
(801) 550-4702

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DE60377097 WA
Dental AnesthesiologyGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0004X GA60407769 WA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DE60384474 WA
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X DE60377097 WA Primary

Addresses

Primary practice location

20214 Ballinger Way NE
Shoreline, WA 98155-1144

Mailing address

20214 Ballinger Way NE
Shoreline, WA 98155-1144
Phone (206) 466-6250

National Provider Directory

National Provider Directory

Locations

20214 Ballinger Way NE
Shoreline, WA 98155
Phone (206) 361-2225

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1457896847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20214 BALLINGER WAY NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551144",
            "telephone_number": "206-466-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20214 BALLINGER WAY NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551144",
            "telephone_number": "206-466-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE HOUSE DENTISTRY FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BENJAMINE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-550-4702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60377097",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "WA",
            "license": "GA60407769",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60384474",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60377097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.