NPIMap

Organization Active NPI

Seattle Central Community College

  • Dental Clinic/Center
  • Seattle, WA
National Provider Identifier
1689896102
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00010635 Issued in WA
Legal business name
SEATTLE CENTRAL COMMUNITY COLLEGE
Practice address
2120 S Jackson St
4TH Floor
Seattle, WA 98144-2219
Phone
(206) 344-4423
Fax
(206) 516-3196
NPI assigned
May 3, 2007
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Mildred Ollee
Title
President
Phone
(206) 587-4144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE00010635 WA Primary

Addresses

Primary practice location

2120 S Jackson St
4TH Floor
Seattle, WA 98144-2219

Mailing address

1701 Broadway
Be3210
Seattle, WA 98122-2413
Phone (206) 587-6922

Other names 1

  • Dental Hygiene clinic Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Seattle Community Colleges District VI4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1701 Broadway
#3210
Seattle, WA 98122
Phone (206) 934-3813

2120 S Jackson St
Fl 4
Seattle, WA 98144
Phone (206) 344-4423

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1689896102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 BROADWAY",
            "address_2": "BE3210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222413",
            "telephone_number": "206-587-6922",
            "fax_number": "206-587-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 S JACKSON ST",
            "address_2": "4TH FLOOR",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442219",
            "telephone_number": "206-344-4423",
            "fax_number": "206-516-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE CENTRAL COMMUNITY COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "OLLEE",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-587-4144",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00010635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Hygiene clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 8, 2008; 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.