Active NPI
Alexander Shor, DMD MSD
- Prosthodontics
- Seattle, WA
National Provider Identifier
1700967544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DE00008249
- Practice address
- 1500 Fairview Ave East
Ste 300
Seattle, WA 98102 - Phone
- (206) 325-7456
- Fax
- (206) 323-6273
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DE00008249 | WA | Primary |
Addresses
Primary practice location
1500 Fairview Ave East
Ste 300
Seattle, WA 98102
Mailing address
1500 Fairview Ave East
Ste No 300
Seattle, WA 98102
Phone (206) 325-7456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00008249 | WA | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexander Shor Or Eastlake Dental | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Seattle, WA
- NPI 1568694867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700967544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 FAIRVIEW AVE EAST",
"address_2": "STE NO 300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98102",
"telephone_number": "206-325-7456",
"fax_number": "206-323-6273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 FAIRVIEW AVE EAST",
"address_2": "STE 300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98102",
"telephone_number": "206-325-7456",
"fax_number": "206-323-6273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOR",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "DMD MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "WA",
"license": "DE00008249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.