Individual provider Active NPI

David Apatoff, D.D.S.

  • General Practice Dentistry
  • Edmonds, WA
National Provider Identifier
1487601605
Registry record updated Dec 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6763 Issued in WA
Practice address
651 Edmonds Way
Suite C
Edmonds, WA 98020-4689
Phone
(425) 712-7200
Fax
(425) 712-1428
NPI assigned
May 31, 2006
Last updated
Dec 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6763 WA Primary

Addresses

Primary practice location

651 Edmonds Way
Suite C
Edmonds, WA 98020-4689

Mailing address

651 Edmonds Way
Suite C
Edmonds, WA 98020-4689
Phone (425) 712-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150408001685 WA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951629625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6763WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David Apatoff, DDS General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356307200000",
    "number": "1487601605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 EDMONDS WAY",
            "address_2": "SUITE C",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204689",
            "telephone_number": "425-712-7200",
            "fax_number": "425-712-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 EDMONDS WAY",
            "address_2": "SUITE C",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204689",
            "telephone_number": "425-712-7200",
            "fax_number": "425-712-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APATOFF",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.