Active NPI
Shelley Marie McLean, DDS
- Dentist
- Bellevue, WA
National Provider Identifier
1710151634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00008364
- Practice address
- 410 Bellevue Wy SE
Bellevue, WA 98004 - Phone
- (425) 454-8002
- Fax
- (425) 454-8099
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE00008364 | WA | Primary |
Addresses
Primary practice location
410 Bellevue Wy SE
Bellevue, WA 98004
Mailing address
410 Bellevue Wy SE
Bellevue, WA 98004
Phone (425) 454-8002
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 |
|---|---|---|---|
| DE00008364 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1710151634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 BELLEVUE WY SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98004",
"telephone_number": "425-454-8002",
"fax_number": "425-454-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 BELLEVUE WY SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98004",
"telephone_number": "425-454-8002",
"fax_number": "425-454-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEAN",
"first_name": "SHELLEY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00008364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.