Organization Active NPI

Nathan Suter DDS PLLC

  • Dental Clinic/Center
  • Kent, WA
National Provider Identifier
1821753013
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NATHAN SUTER DDS PLLC
Practice address
19011 68TH Ave S
Ste A100
Kent, WA 98032-2108
Phone
(512) 861-1337
Fax
(866) 815-3719
NPI assigned
Nov 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Benjamin Tiggelaar
Title
Authorized Agent
Phone
(512) 980-4648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

19011 68TH Ave S
Ste A100
Kent, WA 98032-2108

Mailing address

5555 N Lamar Blvd
Ste H125
Austin, TX 78751
Phone (512) 861-1337

Other names 1

  • Enable Dental Doing business as

National Provider Directory

National Provider Directory

Locations

19011 68th Ave S
Ste A100
Kent, WA 98032
Phone (512) 861-1337

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1821753013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 N LAMAR BLVD",
            "address_2": "STE H125",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78751",
            "telephone_number": "512-861-1337",
            "fax_number": "866-815-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19011 68TH AVE S",
            "address_2": "STE A100",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980322108",
            "telephone_number": "512-861-1337",
            "fax_number": "866-815-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN SUTER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "TIGGELAAR",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "512-980-4648"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enable Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.