NPIMap

Organization Active NPI

Julia Fredericks DMD PLLC

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1487933362
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60116120 Issued in WA
Legal business name
JULIA FREDERICKS DMD PLLC
Practice address
900 Lenora St Ste 216
Seattle, WA 98121-2753
Phone
(206) 402-5490
NPI assigned
Aug 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Dr. Julia Fredericks, DMD
Title
Dentist
Phone
(206) 402-5490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE60116120 WA Primary

Addresses

Primary practice location

900 Lenora St Ste 216
Seattle, WA 98121-2753

Mailing address

900 Lenora St Ste 216
Seattle, WA 98121-2753
Phone (206) 402-5490

Other names 1

  • 2200 Westlake Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

900 Lenora St
Ste 216
Seattle, WA 98121
Phone (206) 402-5490

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1487933362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LENORA ST STE 216",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212753",
            "telephone_number": "206-402-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LENORA ST STE 216",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212753",
            "telephone_number": "206-402-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA FREDERICKS DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "FREDERICKS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-402-5490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60116120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2200 Westlake Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 10, 2011; 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.