Organization Active NPI

Denture Services of Burien

  • Denturist
  • Burien, WA
National Provider Identifier
1871759407
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
Legal business name
DENTURE SERVICES OF BURIEN
Practice address
14400 Ambaum Blvd SW Ste Q
Burien, WA 98166-1447
Phone
(206) 244-0956
NPI assigned
Aug 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Javier D Delgado
Title
Denturist
Phone
(206) 244-0956

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
DenturistGroup: 193200000X MULTI-SPECIALTY GROUP 122400000X Primary

Addresses

Primary practice location

14400 Ambaum Blvd SW Ste Q
Burien, WA 98166-1447

Mailing address

14400 Ambaum Blvd SW Ste Q
Denture Services of Burien
Burien, WA 98166-1447

Other identifiers 1

IdentifierTypeStateIssuer
5040084MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1871759407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 AMBAUM BLVD SW STE Q",
            "address_2": "DENTURE SERVICES OF BURIEN",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 AMBAUM BLVD SW STE Q",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661447",
            "telephone_number": "206-244-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTURE SERVICES OF BURIEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTURIST",
        "authorized_official_telephone_number": "206-244-0956"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Denturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5040084",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.