Organization Active NPI

Diane McIntyre DDS PS

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1790998151
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5288 Issued in WA
Legal business name
DIANE MCINTYRE DDS PS
Practice address
3941 Wallingford Ave N
Seattle, WA 98103-8247
Phone
(206) 633-4007
Fax
(206) 633-2504
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Diane R. McIntyre, DDS
Title
Owner
Phone
(206) 633-4007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 5288 WA Primary

Addresses

Primary practice location

3941 Wallingford Ave N
Seattle, WA 98103-8247

Mailing address

3941 Wallingford Ave N
Seattle, WA 98103-8247
Phone (206) 633-4007

Other names 1

  • Wallingford Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

3941 Wallingford Ave N
Seattle, WA 98103
Phone (206) 633-4007

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1790998151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 WALLINGFORD AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038247",
            "telephone_number": "206-633-4007",
            "fax_number": "206-633-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 WALLINGFORD AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038247",
            "telephone_number": "206-633-4007",
            "fax_number": "206-633-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE MCINTYRE DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-633-4007",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wallingford Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 24, 2011; 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.