Organization Active NPI

University of Washingont School of Dentistry

  • Dentist
  • Seattle, WA
National Provider Identifier
1477982015
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60389264 Issued in WA
Legal business name
UNIVERSITY OF WASHINGONT SCHOOL OF DENTISTRY
Practice address
1959 NE Pacific St Box 357131
Seattle, WA 98195-0001
Phone
(206) 221-7182
NPI assigned
Nov 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Dr. Joel Berg, DE00008754
Title
Dean
Phone
(206) 221-7182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DE60389264 WA Primary

Addresses

Primary practice location

1959 NE Pacific St Box 357131
Seattle, WA 98195-0001

Mailing address

1959 NE Pacific St
Box 357131
Seattle, WA 98195-0001
Phone (206) 221-7182

Other names 1

  • U of W School of Dentistry Other name

National Provider Directory

National Provider Directory
Tax ID family
Scca-Oral Medicine48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1477982015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "BOX 357131",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-221-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST BOX 357131",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-221-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WASHINGONT SCHOOL OF DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "206-221-7182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DE00008754"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60389264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U of W School of Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 4, 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.

Verify at the official NPI Registry.