Active NPI
State of Wa, Dept. of Social and Health SVS.
- Dentist
- Shoreline, WA
National Provider Identifier
1467594465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00009387
- Legal business name
- STATE OF WA, DEPT. OF SOCIAL AND HEALTH SVS.
- Practice address
- 15230 15TH Ave NE
Shoreline, WA 98155-7130 - Phone
- (206) 361-2990
- NPI assigned
- Feb 13, 2007
- 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
- Asha Singh, M.D.
- Title
- Superintendent
- Phone
- (206) 361-3033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE00009387 | WA | Primary |
Addresses
Primary practice location
15230 15TH Ave NE
Shoreline, WA 98155-7130
Mailing address
3540 Lake Washington Blvd SE
#211
Bellevue, WA 98006-1105
Phone (425) 221-0228
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Bellevue, WA
- NPI 1174747422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467594465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 LAKE WASHINGTON BLVD SE",
"address_2": "#211",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061105",
"telephone_number": "425-221-0228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15230 15TH AVE NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981557130",
"telephone_number": "206-361-2990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE OF WA, DEPT. OF SOCIAL AND HEALTH SVS.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SINGH",
"authorized_official_first_name": "ASHA",
"authorized_official_title_or_position": "SUPERINTENDENT",
"authorized_official_telephone_number": "206-361-3033",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "WA",
"license": "DE00009387",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.