Individual provider Active NPI

Thomas Patrick Sweeney, DDS

  • Periodontics
  • Seattle, WA
National Provider Identifier
1760465306
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
5965 Issued in WA
Practice address
701 5TH Ave Ste 4660
Seattle, WA 98104-7057
Phone
(206) 682-8200
Fax
(206) 386-5099
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 5965 WA Primary

Addresses

Primary practice location

701 5TH Ave Ste 4660
Seattle, WA 98104-7057

Mailing address

701 5TH Ave Ste 4660
Seattle, WA 98104-7057
Phone (206) 682-8200

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5965WAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas P Sweeney DDS PS CurrentSince Jun 28, 2020 Accepting new patients
Implant & Periodontic Specialists Periodontics Past Accepting new patients
Neal C Raval DDS MSD PS Inc Periodontics Past Accepting new patients

Locations

701 5th Ave
Ste 4660
Seattle, WA 98104
Phone (206) 682-8200

Organizations & group practices 3

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1760465306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 5TH AVE STE 4660",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981047057",
            "telephone_number": "206-682-8200",
            "fax_number": "425-637-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 5TH AVE STE 4660",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981047057",
            "telephone_number": "206-682-8200",
            "fax_number": "206-386-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "THOMAS",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "5965",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 24, 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.