Individual provider Active NPI

Alex Mitchel Hurliman, DDS

  • Dentist
  • Seattle, WA
National Provider Identifier
1831688910
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60861689 Issued in WA
Practice address
509 Olive Way Ste 1149
Seattle, WA 98101
Phone
(206) 682-3888
NPI assigned
May 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 60861689 WA Primary

Addresses

Primary practice location

509 Olive Way Ste 1149
Seattle, WA 98101

Mailing address

7920 Wallingford Ave N Apt 206
Seattle, WA 98103-4956
Phone (509) 570-3792

Other practice location 1

39 Shortcut Road
Inchelium, WA 99138-9913
Phone (509) 722-7006

Other practice location 2

1959 NE Pacific St # D322
Seattle, WA 98195-0001
Phone (206) 616-6996

Other practice location 3

509 Olive Way Ste 1149
Seattle, WA 98101
Phone (206) 682-3888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60861689WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert E Johnson DDS PS Past Accepting new patients

Organizations & group practices 1

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": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1831688910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 WALLINGFORD AVE N APT 206",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034956",
            "telephone_number": "509-570-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1149",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98101",
            "telephone_number": "206-682-3888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Shortcut Road",
            "address_purpose": "LOCATION",
            "city": "Inchelium",
            "state": "WA",
            "postal_code": "991389913",
            "country_code": "US",
            "telephone_number": "509-722-7006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1959 NE Pacific St # D322",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981950001",
            "country_code": "US",
            "telephone_number": "206-616-6996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 Olive Way Ste 1149",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98101",
            "country_code": "US",
            "telephone_number": "206-682-3888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURLIMAN",
        "first_name": "ALEX",
        "middle_name": "MITCHEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-04",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "60861689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 21, 2019; 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.