Organization Active NPI

Daniel S. Friedman, DDS,PS

  • Periodontics
  • Burien, WA
National Provider Identifier
1598846107
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
4617 Issued in WA
Legal business name
DANIEL S. FRIEDMAN, DDS,PS
Practice address
15515 3Rd Ave SW
Ste D
Burien, WA 98166-2553
Phone
(206) 244-1410
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel Stewart Freidman, D.D.S.
Title
President
Phone
(206) 244-1410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 4617 WA Primary

Addresses

Primary practice location

15515 3Rd Ave SW
Ste D
Burien, WA 98166-2553

Mailing address

15515 3Rd Ave SW
Ste D
Burien, WA 98166-2553
Phone (206) 244-1410

National Provider Directory

National Provider Directory

Locations

15515 3rd Ave SW
Ste D
Burien, WA 98166
Phone (206) 244-1410

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598846107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15515 3RD AVE SW",
            "address_2": "STE D",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662553",
            "telephone_number": "206-244-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15515 3RD AVE SW",
            "address_2": "STE D",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662553",
            "telephone_number": "206-244-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL S. FRIEDMAN, DDS,PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREIDMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-244-1410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "4617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.