Individual provider Active NPI

Loren Brantley Davis, D.D.S, F.A.G.D.

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1760464747
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6044 Issued in WA
Practice address
4540 Sand Point Way NE
#340
Seattle, WA 98105-3941
Phone
(206) 985-0232
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6044 WA Primary

Addresses

Primary practice location

4540 Sand Point Way NE
#340
Seattle, WA 98105-3941

Mailing address

4540 Sand Point Way NE
#340
Seattle, WA 98105-3941
Phone (206) 985-0232

Other identifiers 1

IdentifierTypeStateIssuer
5028360MedicaidWA

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

LicenseStateTypeSpecialty
6044WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lina Kim DDS, PS General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760464747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 SAND POINT WAY NE",
            "address_2": "#340",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053941",
            "telephone_number": "206-985-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 SAND POINT WAY NE",
            "address_2": "#340",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053941",
            "telephone_number": "206-985-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LOREN",
        "middle_name": "BRANTLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S, F.A.G.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5028360",
            "state": "WA"
        }
    ],
    "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 Jul 13, 2026; 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.