Active NPI
Diane McIntyre DDS PS
- General Practice Dentistry
- Seattle, WA
National Provider Identifier
1790998151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5288
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Seattle, WA
- NPI 1326364480
-
- Dentist
- Seattle, WA
- NPI 1851540058
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.