Organization Active NPI

Amini and Wang DDS DMD MD PLLC

Doing business as Seattle Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Seattle, WA
National Provider Identifier
1649949454
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
AMINI AND WANG DDS DMD MD PLLC
Doing business as
Seattle Oral & Maxillofacial Surgery
Practice address
4115 Roosevelt Way NE Ste a
Seattle, WA 98105-6473
Phone
(206) 632-0554
NPI assigned
Sep 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Dr. Patrick Wang, DDS, MDNPI 1326254038
Title
Owner
Phone
(425) 358-2726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

4115 Roosevelt Way NE Ste a
Seattle, WA 98105-6473

Mailing address

13127 121St Way NE
Kirkland, WA 98034-3051
Phone (425) 358-2726

Other names 1

  • Seattle Oral & Maxillofacial Surgery Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address manager@cascadiaoralsurgery.com Direct wang and amini DDS,DMD,MD,PLLC

National Provider Directory

National Provider Directory

Locations

4115 Roosevelt Way NE
Ste A
Seattle, WA 98105
Phone (206) 632-0220

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": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1649949454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13127 121ST WAY NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343051",
            "telephone_number": "425-358-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 ROOSEVELT WAY NE STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056473",
            "telephone_number": "206-632-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMINI AND WANG DDS DMD MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-358-2726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "manager@cascadiaoralsurgery.com",
            "affiliation": "Y",
            "endpointDescription": "secure email",
            "affiliationName": "wang and amini DDS,DMD,MD,PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13127 121st Way NE",
            "city": "Kirkland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980343051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Seattle Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 7, 2021; 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.