David Carl Obenchain, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DE60102338 Issued in WA

Practice address

3295 SW Avalon Way
Suite B
Seattle, WA 98126

Phone

(206) 561-2345

Fax

(206) 990-0800

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• David Carl Obenchain DDS, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Seattle, WA
  • NPI 1265380877
  NPD (past) Authorized official
• Oral Maxillo Facial Surgeons, Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Omaha, NE
  • NPI 1760576813
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1659408284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 SW AVALON WAY STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262683",
            "telephone_number": "206-561-2345",
            "fax_number": "206-990-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 SW AVALON WAY",
            "address_2": "SUITE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98126",
            "telephone_number": "206-561-2345",
            "fax_number": "206-990-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBENCHAIN",
        "first_name": "DAVID",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE60102338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DE60102338",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2230333",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oasis Solutions LLC
• Zackery Oates
• Tyler Jordan Oatway, BSC. PHARM
• Rae Caballero Obejero, BSW
• Yulia Obelcz, MD
• Katherine Obenschain
• Angela Oberdeck, MSW
• Donna Jean Oberg, R.D.
• Pontus Oberg, D.O.
• Max Hutton Oberholtzer, CPHT

• Oral and Maxillofacial Surgery (Dentist) in Seattle, WA
• Providers in Seattle, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.