Organization Active NPI

Eckland PLLC

Doing business as Eckland Family Dental

  • General Practice Dentistry
  • Woodinville, WA
National Provider Identifier
1538422712
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ECKLAND PLLC
Doing business as
Eckland Family Dental
Practice address
17330 135TH Ave NE
Suite 1a
Woodinville, WA 98072-8522
Phone
(425) 481-0755
Fax
(425) 487-1578
NPI assigned
Jun 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Colby Adam Eckland, D.D.S,.
Title
Owner/Dentist
Phone
(425) 481-0755

Specialties & licenses 1

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

Addresses

Primary practice location

17330 135TH Ave NE
Suite 1a
Woodinville, WA 98072-8522

Mailing address

17330 135TH Ave NE
Suite 1a
Woodinville, WA 98072-8522
Phone (425) 481-0755

Other names 1

  • Eckland Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

17330 135th Ave NE
Ste 1A
Woodinville, WA 98072
Phone (425) 215-1002

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1538422712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17330 135TH AVE NE",
            "address_2": "SUITE 1A",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728522",
            "telephone_number": "425-481-0755",
            "fax_number": "425-487-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 135TH AVE NE",
            "address_2": "SUITE 1A",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728522",
            "telephone_number": "425-481-0755",
            "fax_number": "425-487-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECKLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "ECKLAND",
        "authorized_official_first_name": "COLBY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "425-481-0755",
        "authorized_official_credential": "D.D.S,."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eckland Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.