Smiles by Design PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

DE00009100 Issued in WA

Legal business name

SMILES BY DESIGN PLLC

Practice address

7530 164TH Ave NE
Redmond, WA 98052-7812

Phone

(425) 558-1515

Fax

(425) 882-1040

NPI assigned

Feb 28, 2017

Organization subpart

No

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

Authorized official

Name

Shawn Keller, DDS

Title

Owner

Phone

(425) 558-1515

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1528508322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 164TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527812",
            "telephone_number": "425-558-1515",
            "fax_number": "425-882-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 164TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527812",
            "telephone_number": "425-558-1515",
            "fax_number": "425-882-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES BY DESIGN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-558-1515",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00009100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ruizhe Siu, DMD
• Maneesha Sivalingam
• Haley Sizelove, PT, DPT
• Kimberly Skyles, O.D.
• Anna Maria Slater, L.M.P.
• Amber Smith, FNP-BC
• Craig David Smith, DDS, MS
• Gerald W Smith, O.D.
• Rachaud Leon Smith, PSY.D.
• Sara Elizabeth Smith, LMP

• Dentist in Redmond, WA
• Providers in Redmond, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.