Active NPI
Caryn Vertucci, DDS
- Dentist
- Seattle, WA
National Provider Identifier
1790929131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00009314
- Practice address
- 500 5TH Ave
6W
Seattle, WA 98104-2332 - Phone
- (206) 296-1091
- NPI assigned
- Apr 29, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE00009314 | WA | Primary |
Addresses
Primary practice location
500 5TH Ave
6W
Seattle, WA 98104-2332
Mailing address
500 5TH Ave
6W
Seattle, WA 98104-2332
Phone (206) 296-1091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160803001044 | WA | Order and Referring Only - Dentist | 8123312824 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00009314 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1790929131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 5TH AVE",
"address_2": "6W",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042332",
"telephone_number": "206-296-1091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 5TH AVE",
"address_2": "6W",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042332",
"telephone_number": "206-296-1091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERTUCCI",
"first_name": "CARYN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-29",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00009314",
"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 Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.