Organization Active NPI

Neal Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Kirkland, WA
National Provider Identifier
1487593745
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
NEAL ORAL AND MAXILLOFACIAL SURGERY
Practice address
13131 120TH Ave NE Ste a
Kirkland, WA 98034-3037
Phone
(425) 825-7575
Fax
(425) 825-5615
NPI assigned
Mar 25, 2026
Organization subpart
Yes
Parent organization
NEAL ORAL AND MAXILLOFACIAL SURGERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Amy Wilcox
Title
Office Manager
Phone
(206) 363-3010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

13131 120TH Ave NE Ste a
Kirkland, WA 98034-3037

Mailing address

11011 Meridian Ave N Ste 305
Seattle, WA 98133-8967
Phone (206) 363-3010

National Provider Directory

National Provider Directory
Tax ID family
Neal Oral and Maxillofacial Surgery2 organizations share this tax ID, including this one
Part of
Neal Oral and Maxillofacial Surgery

Other organizations with this tax ID 1

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

Locations

11011 Meridian Ave N
Ste 305
Seattle, WA 98133
Phone (206) 363-3010

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1487593745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 MERIDIAN AVE N STE 305",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338967",
            "telephone_number": "206-363-3010",
            "fax_number": "206-363-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13131 120TH AVE NE STE A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343037",
            "telephone_number": "425-825-7575",
            "fax_number": "425-825-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEAL ORAL AND MAXILLOFACIAL SURGERY",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-363-3010"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.