NPIMap

Organization Active NPI

Leland B. Dawson DDS, PS

  • General Practice Dentistry
  • Kent, WA
National Provider Identifier
1689718991
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4863 Issued in WA
Legal business name
LELAND B. DAWSON DDS, PS
Practice address
13210 SE 240TH St
Suite B1
Kent, WA 98042-5182
Phone
(253) 631-8490
Fax
(253) 639-3929
NPI assigned
Feb 19, 2007
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. Leland Bradley Dawson, DDSNPI 1659415958
Title
President
Phone
(253) 631-8490

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4863 WA Primary

Addresses

Primary practice location

13210 SE 240TH St
Suite B1
Kent, WA 98042-5182

Mailing address

13210 SE 240TH St
Suite B1
Kent, WA 98042-5182
Phone (253) 631-8490

National Provider Directory

National Provider Directory

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": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689718991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13210 SE 240TH ST",
            "address_2": "SUITE B1",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980425182",
            "telephone_number": "253-631-8490",
            "fax_number": "253-639-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13210 SE 240TH ST",
            "address_2": "SUITE B1",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980425182",
            "telephone_number": "253-631-8490",
            "fax_number": "253-639-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LELAND B. DAWSON DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-631-8490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, 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.