Active NPI
Thomas Wade Strother, D.D.S.
- General Practice Dentistry
- Edmonds, WA
National Provider Identifier
1740582402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5764
- Practice address
- 7631 212TH St SW
109-C
Edmonds, WA 98026-7565 - Phone
- (425) 775-1766
- NPI assigned
- Nov 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5764 | WA | Primary |
Addresses
Primary practice location
7631 212TH St SW
109-C
Edmonds, WA 98026-7565
Mailing address
7631 212TH St SW
109-C
Edmonds, WA 98026-7565
Phone (425) 775-1766
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 |
|---|---|---|---|
| 5764 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291075200000",
"number": "1740582402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7631 212TH ST SW",
"address_2": "109-C",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267565",
"telephone_number": "425-775-1766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7631 212TH ST SW",
"address_2": "109-C",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267565",
"telephone_number": "425-775-1766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROTHER",
"first_name": "THOMAS",
"middle_name": "WADE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-30",
"last_updated": "2010-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "5764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.