Active NPI
Neal Oral & Maxillofacial Surgery
- Oral and Maxillofacial Pathology Dentistry
- Seattle, WA
National Provider Identifier
1720154404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 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 DirectoryLocations
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Seattle, WA
- NPI 1184714875
-
- Oral and Maxillofacial Surgery (Dentist)
- Kirkland, WA
- NPI 1083781538
-
- Oral and Maxillofacial Surgery (Dentist)
- Seattle, WA
- NPI 1992933238
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.