Organization Active NPI

Odat Services L.L.C.

  • Case Management Agency
  • Everett, WA
National Provider Identifier
1740061514
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ODAT SERVICES L.L.C.
Practice address
3102 Hoyt Ave Unit 2371
Everett, WA 98213-0028
Phone
(425) 879-8920
NPI assigned
Oct 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Travis Gerald Gannon
Title
Managing Partner
Phone
(425) 879-8920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3102 Hoyt Ave Unit 2371
Everett, WA 98213-0028

Mailing address

3102 Hoyt Ave Unit 2371
Everett, WA 98213-0028
Phone (425) 879-8920

National Provider Directory

National Provider Directory

Locations

3102 Hoyt Ave
Unit 2371
Everett, WA 98213
Phone (425) 879-8920

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1740061514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 HOYT AVE UNIT 2371",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982130028",
            "telephone_number": "425-879-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 HOYT AVE UNIT 2371",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982130028",
            "telephone_number": "425-879-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODAT SERVICES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "GANNON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "425-879-8920"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.