Active NPI
John R Streidl, MD, PLLC
- Procedural Dermatology Physician
- Bothell, WA
National Provider Identifier
1851324115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- MD00039710
- Legal business name
- JOHN R STREIDL, MD, PLLC
- Practice address
- 22833 Bothell Everett Highway
C/O Dermservice, Suite 201
Bothell, WA 98021 - Phone
- (425) 486-2340
- Fax
- (425) 483-8135
- NPI assigned
- Jul 9, 2006
- 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
- Dr. John R Streidl, MD
- Title
- Owner
- Phone
- (425) 485-7985
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD00039710 | WA | |
| Dermatopathology Physician | 207ND0900X | MD00039710 | WA | |
| Procedural Dermatology Physician | 207NS0135X | MD00039710 | WA | Primary |
Addresses
Primary practice location
22833 Bothell Everett Highway
C/O Dermservice, Suite 201
Bothell, WA 98021
Mailing address
17000 140TH Ave NE
Unit 206
Woodinville, WA 98072
Phone (425) 485-7985
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1851324115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17000 140TH AVE NE",
"address_2": "UNIT 206",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "98072",
"telephone_number": "425-485-7985",
"fax_number": "425-483-8135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22833 BOTHELL EVERETT HIGHWAY",
"address_2": "C/O DERMSERVICE, SUITE 201",
"city": "BOTHELL",
"state": "WA",
"postal_code": "98021",
"telephone_number": "425-486-2340",
"fax_number": "425-483-8135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN R STREIDL, MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "STREIDL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-485-7985",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "WA",
"license": "MD00039710",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": "WA",
"license": "MD00039710",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": "WA",
"license": "MD00039710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.