Individual provider Active NPI

Jeffrey Allen Schur, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bellevue, WA
National Provider Identifier
1467674382
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE00006336 Issued in WA
Practice address
14635 Bel-Red Rd
Ste E101
Bellevue, WA 98007-3932
Phone
(425) 747-4477
Fax
(425) 747-4321
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE00006336 WA Primary

Addresses

Primary practice location

14635 Bel-Red Rd
Ste E101
Bellevue, WA 98007-3932

Mailing address

14635 Bel-Red Rd
Ste E101
Bellevue, WA 98007-3932
Phone (425) 747-4477

Other identifiers 1

IdentifierTypeStateIssuer
39018OtherWAINDUSTR INS ST FUND PROV#

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

LicenseStateTypeSpecialty
DE00006336WAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1467674382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14635 BEL-RED RD",
            "address_2": "STE E101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073932",
            "telephone_number": "425-747-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14635 BEL-RED RD",
            "address_2": "STE E101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073932",
            "telephone_number": "425-747-4477",
            "fax_number": "425-747-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUR",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00006336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDUSTR INS ST FUND PROV#",
            "identifier": "39018",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.