Individual provider Active NPI

Alan J Sutton, DDS

  • Prosthodontics
  • Seattle, WA
National Provider Identifier
1811984339
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DE61191466 Issued in WA
Practice address
1959 NE Pacific St RM D458
Seattle, WA 98195-1540
Phone
(206) 543-5919
Fax
(206) 543-7783
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 14700 TX
Prosthodontics 1223P0700X DE61191466 WA Primary

Addresses

Primary practice location

1959 NE Pacific St RM D458
Seattle, WA 98195-1540

Mailing address

1959 NE Pacific St
Box 357191
Seattle, WA 98195-0001
Phone (206) 543-5919

Other identifiers 1

IdentifierTypeStateIssuer
2192155MedicaidWA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211215002711 WA Practitioner - Dentist 0345653945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Baylor College of Dentistry/Texas a&M University, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1959 NE Pacific St
Seattle, WA 98195-7131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE61191466WAMDProsthodontist
14700TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Washington CurrentSince Oct 22, 2021 Accepting new patients
University of Washington Current Accepting new patients
University of Washington CurrentSince Oct 22, 2021 Accepting new patients

Locations

1959 NE Pacific St
Rm D453
Seattle, WA 98195

1959 NE Pacific St
#357456
Seattle, WA 98195

4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 221-1700

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

1959 NE Pacific St
#D770
Seattle, WA 98195
Phone (206) 543-5948

1959 NE Pacific St
#357191
Seattle, WA 98195

1959 NE Pacific St
Rm D458
Seattle, WA 98195
Phone (206) 543-5919

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1811984339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "BOX 357191",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-543-5919",
            "fax_number": "206-685-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST RM D458",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981951540",
            "telephone_number": "206-543-5919",
            "fax_number": "206-543-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "ALAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "14700",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE61191466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2192155",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.