Vicki Fidler DDS PS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VICKI FIDLER DDS PS

Practice address

3626 NE 45TH St Ste 200
Seattle, WA 98105-5654

Phone

(206) 526-1437

NPI assigned

Jun 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Vicki Fidler, DDSNPI 1255453619

Title

President

Phone

(206) 850-5604

Specialties & licenses 1

Addresses

Other names 1

• Fidler on the Tooth Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vicki L. Fidler, DDS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1255453619
  NPD Authorized official
• Fang Sun, DDS, PHD

  • Dentist
  • Seattle, WA
  • NPI 1982337226
  NPD
• Gregory Wang, D.D.S.

  • General Practice Dentistry
  • Bothell, WA
  • NPI 1083042204
  NPD (past)

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1871337477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 NE 45TH ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055654",
            "telephone_number": "206-526-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 NE 45TH ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055654",
            "telephone_number": "206-526-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKI FIDLER DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "FIDLER",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-850-5604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fidler on the Tooth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiyana Vick, LP61343142
• Aidan Vickers, M.ED., BCBA
• Laurice Samuel Vickers, MD
• Michael Brian Vickers, DPM
• Rebekah Vickery, LMHC
• Eric William Vickrey, P.A.
• Victor Ciumacov
• Victor J. Barry, DDS & Michael J. Mulick, DMD & Associates PL LC
• Calista Victor, PMHNP
• Victoria H. Chaudhry, Inc., P.S.

• Dental Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.