Organization Active NPI

Scott Clayhold DMD PS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Issaquah, WA
National Provider Identifier
1659220846
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
SCOTT CLAYHOLD DMD PS
Practice address
22605 SE 56TH St Ste 110
Issaquah, WA 98029-5297
Phone
(425) 369-1533
Fax
(425) 369-1533
NPI assigned
Jan 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Dr. Scott Clayhold, DMDNPI 1982662482
Title
President
Phone
(425) 891-4243

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X Primary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X

Addresses

Primary practice location

22605 SE 56TH St Ste 110
Issaquah, WA 98029-5297

Mailing address

22605 SE 56TH St Ste 110
Issaquah, WA 98029-5297
Phone (425) 369-1533

National Provider Directory

National Provider Directory

Locations

22605 SE 56th St
Ste 110
Issaquah, WA 98029
Phone (425) 369-1533

Practitioners & affiliated clinicians

Practitioners 1

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": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1659220846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22605 SE 56TH ST STE 110",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295297",
            "telephone_number": "425-369-1533",
            "fax_number": "425-369-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22605 SE 56TH ST STE 110",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295297",
            "telephone_number": "425-369-1533",
            "fax_number": "425-369-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT CLAYHOLD DMD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "CLAYHOLD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-891-4243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.