Individual provider Active NPI

Thomas B Dodson, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Seattle, WA
National Provider Identifier
1629050653
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DE60386478 Issued in WA
Practice address
6222 NE 74TH St
Seattle, WA 98115-8158
Phone
(206) 543-5860
Fax
(206) 685-7222
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DE60386478 WA Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 7885 CO
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 15548 MA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 34606 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 010950 GA

Addresses

Primary practice location

6222 NE 74TH St
Seattle, WA 98115-8158

Mailing address

1959 NE Pacific St
Box 357134
Seattle, WA 98195-0001
Phone (206) 543-5860

Other identifiers 3

IdentifierTypeStateIssuer
015548OtherMATUFTS HEALTH PLAN
2030378MedicaidWA
X07675OtherMABCBS MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131002000324 WA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 9436133246 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uw School of DentistryGroup PAC ID 3678948478, 19 clinicians

Practice addresses (Care Compare)

1959 NE Pacific St
Seattle, WA 98195-6365
Phone (206) 616-6996

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34606CAMDOral and Maxillofacial Surgery (Dentist)
010950GAMDOral and Maxillofacial Surgery (Dentist)
15548MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Washington Current Accepting new patients
University of Washington CurrentSince Sep 7, 2013 Accepting new patients
Harborview Medical Center CurrentSince Sep 1, 2013 Accepting new patients
University of Washington CurrentSince Sep 7, 2013 Accepting new patients
Uw School of Dentistry Oral and Maxillofacial Surgery CurrentSince Oct 3, 2023 Accepting new patients
Harborview Medical Center CurrentSince Sep 1, 2013 Accepting new patients

Locations

6222 NE 74th St
Seattle, WA 98115
Phone (206) 543-5800

4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 221-1700

1959 NE Pacific St
#357134
Seattle, WA 98195
Phone (206) 543-7496

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

1959 NE Pacific St
Fl NE300
Seattle, WA 98195

325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000

6222 NE 74th St
Bldg 25
Seattle, WA 98115
Phone (206) 543-5860

1550 N 115th St
Shoreline, WA 98133
Phone (206) 364-0500

Interoperability endpoints

  • Direct secure messaging: tdodson35755@direct.seattlechildrens.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1629050653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "BOX 357134",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-543-5860",
            "fax_number": "206-616-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 NE 74TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981158158",
            "telephone_number": "206-543-5860",
            "fax_number": "206-685-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "THOMAS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE60386478",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "7885",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "15548",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "34606",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "010950",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "015548",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2030378",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "X07675",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.