Organization Active NPI

Clement & Teel PS Corporation

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1639395122
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00006440 Issued in WA
Legal business name
CLEMENT & TEEL PS CORPORATION
Practice address
3340 NE 125TH St
Suite 2
Seattle, WA 98125-8911
Phone
(206) 363-6696
Fax
(206) 363-0072
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Nancy J Teel, DDS
Title
Dentist
Phone
(206) 363-6696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00006440 WA Primary

Addresses

Primary practice location

3340 NE 125TH St
Suite 2
Seattle, WA 98125-8911

Mailing address

3340 NE 125TH St
Suite 2
Seattle, WA 98125-8911
Phone (206) 363-6696

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639395122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 NE 125TH ST",
            "address_2": "SUITE 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981258911",
            "telephone_number": "206-363-6696",
            "fax_number": "206-363-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 NE 125TH ST",
            "address_2": "SUITE 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981258911",
            "telephone_number": "206-363-6696",
            "fax_number": "206-363-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENT & TEEL PS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEEL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-363-6696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, 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.