Organization Active NPI

Zach Streit DDS PLLC

  • Customized Equipment (DME)
  • Edmonds, WA
National Provider Identifier
1619418498
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
DE60237532 Issued in WA
Legal business name
ZACH STREIT DDS PLLC
Practice address
22815 Edmonds Way
Edmonds, WA 98020-5041
Phone
(425) 771-3266
Fax
(425) 774-7917
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Zach Streit, DDS
Title
Owner/Dentist
Phone
(425) 771-3266

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X DE60237532 WA
Customized Equipment (DME) 332BC3200X DE60237532 WA Primary

Addresses

Primary practice location

22815 Edmonds Way
Edmonds, WA 98020-5041

Mailing address

22815 Edmonds Way
Edmonds, WA 98020-5041
Phone (425) 771-3266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170623000305 WA DME Supplier - Oral Surgery - Dentist 1153699749 Practice locations: Edmonds, WA

National Provider Directory

National Provider Directory

Locations

22315 Highway 99
Ste 1
Edmonds, WA 98026
Phone (425) 771-3266

22815 Edmonds Way
Edmonds, WA 98020
Phone (425) 582-7678

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": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1619418498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22815 EDMONDS WAY",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205041",
            "telephone_number": "425-771-3266",
            "fax_number": "425-774-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22815 EDMONDS WAY",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205041",
            "telephone_number": "425-771-3266",
            "fax_number": "425-774-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACH STREIT DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "STREIT",
        "authorized_official_first_name": "ZACH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "425-771-3266",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "WA",
            "license": "DE60237532",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WA",
            "license": "DE60237532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.