Organization Active NPI

Neal Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Pathology Dentistry
  • Seattle, WA
National Provider Identifier
1720154404
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
Legal business name
NEAL ORAL & MAXILLOFACIAL SURGERY
Practice address
509 Olive Way
Suite 1207
Seattle, WA 98101
Phone
(206) 621-9047
Fax
(206) 624-4664
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Dr. Goarik Galia Leorard, MD DDS
Title
Associate
Phone
(206) 621-9047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0106X Primary

Addresses

Primary practice location

509 Olive Way
Suite 1207
Seattle, WA 98101

Mailing address

509 Olive Way
Suite 1207
Seattle, WA 98101
Phone (206) 621-9047

National Provider Directory

National Provider Directory

Locations

509 Olive Way
Ste 1207
Seattle, WA 98101
Phone (206) 621-9047

Practitioners & affiliated clinicians

Practitioners 3

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": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1720154404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "SUITE 1207",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98101",
            "telephone_number": "206-621-9047",
            "fax_number": "206-624-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "SUITE 1207",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98101",
            "telephone_number": "206-621-9047",
            "fax_number": "206-624-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "LEORARD",
        "authorized_official_first_name": "GOARIK",
        "authorized_official_middle_name": "GALIA",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "206-621-9047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD  DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "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 Aug 14, 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.