Organization Active NPI

Michael E McDade DDS

  • Dentist
  • Kenmore, WA
National Provider Identifier
1619190147
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00006051 Issued in WA
Legal business name
MICHAEL E MCDADE DDS
Practice address
6507 NE 181St St
Kenmore, WA 98028-4801
Phone
(425) 486-9211
Fax
(425) 402-1093
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Dr. Michael Edward McDade, DDS
Title
Owner President
Phone
(425) 486-9211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DE00006051 WA Primary

Addresses

Primary practice location

6507 NE 181St St
Kenmore, WA 98028-4801

Mailing address

6507 NE 181St St
Kenmore, WA 98028-4801
Phone (425) 486-9211

Other names 1

  • Michael E McDade DDS Other name

National Provider Directory

National Provider Directory

Locations

6507 NE 181st St
Kenmore, WA 98028
Phone (425) 486-9211

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1619190147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 NE 181ST ST",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284801",
            "telephone_number": "425-486-9211",
            "fax_number": "425-402-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 NE 181ST ST",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284801",
            "telephone_number": "425-486-9211",
            "fax_number": "425-402-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E MCDADE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "MCDADE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "425-486-9211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00006051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael E McDade DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.