Active NPI
Zach Streit DDS PLLC
- Customized Equipment (DME)
- Edmonds, WA
National Provider Identifier
1619418498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- DE60237532
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170623000305 | WA | DME Supplier - Oral Surgery - Dentist | 1153699749 | Practice locations: Edmonds, WA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Edmonds, WA
- NPI 1619264868
-
- Dentist
- Edmonds, WA
- NPI 1205812815
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.