Organization Active NPI

Shafeena Chatur DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Seattle, WA
National Provider Identifier
1700544970
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SHAFEENA CHATUR DDS
Practice address
1400 NW Market St Ste 102
Seattle, WA 98107-3875
Phone
(206) 432-9321
Fax
(206) 428-9162
NPI assigned
Dec 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
George Bridgforth
Title
Administrator
Phone
(206) 355-3395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1400 NW Market St Ste 102
Seattle, WA 98107-3875

Mailing address

1400 NW Market St Ste 102
Seattle, WA 98107-3875
Phone (206) 432-9321

Other names 1

  • Ballard Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ballard Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1400 NW Market St
Ste 102
Seattle, WA 98107
Phone (206) 432-9321

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": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1700544970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW MARKET ST STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073875",
            "telephone_number": "206-432-9321",
            "fax_number": "206-428-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NW MARKET ST STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073875",
            "telephone_number": "206-432-9321",
            "fax_number": "206-428-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFEENA CHATUR DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "BRIDGFORTH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "206-355-3395"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballard Orthodontics",
            "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 Dec 3, 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.