Organization Active NPI

Jake Weissman DDS MSD PLLC

  • Endodontics
  • Seattle, WA
National Provider Identifier
1730633637
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
60278687 Issued in WA
Legal business name
JAKE WEISSMAN DDS MSD PLLC
Practice address
1101 Madison St
Suite 1290
Seattle, WA 98104-1306
Phone
(206) 939-5600
NPI assigned
Aug 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Authorized official

Name
Jake Weissman, D.D.S, M.S.D
Title
Owner
Phone
(206) 939-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 60278687 WA Primary

Addresses

Primary practice location

1101 Madison St
Suite 1290
Seattle, WA 98104-1306

Mailing address

1101 Madison St
Suite 1290
Seattle, WA 98104-1306

Other names 1

  • Rainier Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1101 Madison St
Ste 1290
Seattle, WA 98104
Phone (206) 622-5455

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1730633637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST",
            "address_2": "SUITE 1290",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST",
            "address_2": "SUITE 1290",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041306",
            "telephone_number": "206-939-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAKE WEISSMAN DDS MSD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-939-5600",
        "authorized_official_credential": "D.D.S, M.S.D"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "60278687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainier Endodontics",
            "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 Aug 9, 2016; 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.