Sammamish Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7429 Issued in WA

Legal business name

SAMMAMISH FAMILY DENTAL

Practice address

22840 NE 8TH St
Ste. 101
Sammamish, WA 98074-7262

Phone

(425) 898-0400

Fax

(425) 898-1705

NPI assigned

Jul 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Lynn Humble, D.D.S.NPI 1205081486

Title

Owner/Dentist

Phone

(425) 898-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Robert Humble, DDS Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Lynn Humble, D.D.S.

  • General Practice Dentistry
  • Sammamish, WA
  • NPI 1205081486
  NPD (past) Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750313086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22840 NE 8TH ST",
            "address_2": "STE. 101",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747262",
            "telephone_number": "425-898-0400",
            "fax_number": "425-898-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22840 NE 8TH ST",
            "address_2": "STE. 101",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747262",
            "telephone_number": "425-898-0400",
            "fax_number": "425-898-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMMAMISH FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUMBLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "425-898-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "7429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "881621",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Humble, DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Marion Rossi, DDS
• Ryan Walker DDS PLLC (Sammamish Pediatric Dentistry)
• Safeway Inc (Safeway Pharmacy #0555)
• Sammamish Counseling
• Sammamish Diabetes and Lipid Clinic, PLLC
• Sammamish Physical Therapy and Sports Rehab PLLC
• Sammamish Physical Therapy, Inc. (Sammamish Physical Therapy and Sports Rehab Clinic)
• Sammamish Vision Center
• Christine Herradura Samson, REGISTERED NURSE
• Eva Sanjines, PHARMACIST

• General Practice Dentistry in Sammamish, WA
• Providers in Sammamish, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.