Active NPI
Suzanne Roedel, D.D.S.
- Dentist
- Seattle, WA
National Provider Identifier
1851519573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5866
- Practice address
- 600 University St Ste 820
Seattle, WA 98101-4117 - Phone
- (206) 467-8302
- NPI assigned
- Apr 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5866 | WA | Primary |
Addresses
Primary practice location
600 University St Ste 820
Seattle, WA 98101-4117
Mailing address
5505 NE Penrith Rd
Seattle, WA 98105-2844
Phone (206) 525-3918
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5866 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hasan Dbouk, BDS, MSD, PLLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Seattle Dental Studio
- Dental Clinic/Center
- Seattle, WA
- NPI 1740738129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851519573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5505 NE PENRITH RD",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981052844",
"telephone_number": "206-525-3918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 UNIVERSITY ST STE 820",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981014117",
"telephone_number": "206-467-8302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEDEL",
"first_name": "SUZANNE",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "5866",
"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 Jul 8, 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.