Michael George Jurich, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE00004630 Issued in WA

Practice address

2120 S.Jackson St.
Seattle, WA 98114-2219

Phone

(206) 344-4423

NPI assigned

Jul 17, 2007

Last updated

Jul 17, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seattle Central Community College

  • Local Education Agency (LEA)
  • Seattle, WA
  • NPI 1194943456
  NPD (past) Authorized official

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1831398189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 S JACKSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442219",
            "telephone_number": "206-344-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 S.JACKSON ST.",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981142219",
            "telephone_number": "206-344-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURICH",
        "first_name": "MICHAEL",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00004630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara K Jurek, M.D.
• Jurga Martini DMD PS
• Laura Jeanne Jurgensen, RRT
• Rebekah Joy Jurgensen, OTR/L
• Gordana Juric-Sekhar, MD PHD
• Damir Jurkovic, DDS
• Anna Mary Jurlina, MD
• Larissa Jursich, PCD
• Nancy Juscamaita, MA, LMHC
• Just Be You Counseling PLLC

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.