NPIMap

Organization Active NPI

University Dental Associates

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1881774081
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00003310 Issued in WA
Legal business name
UNIVERSITY DENTAL ASSOCIATES
Practice address
4526 15TH Ave NE
Seattle, WA 98105-4507
Phone
(206) 523-8094
Fax
(206) 522-4634
NPI assigned
Oct 16, 2006
Last updated
Jul 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. Thomas D Ware, D.D.S.NPI 1821045493
Title
Owner
Phone
(206) 523-8094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00003310 WA Primary

Addresses

Primary practice location

4526 15TH Ave NE
Seattle, WA 98105-4507

Mailing address

4526 15TH Ave NE
Seattle, WA 98105-4507
Phone (206) 523-8094

National Provider Directory

National Provider Directory

Locations

4526 15th Ave NE
Seattle, WA 98105
Phone (206) 523-8094

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1881774081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4526 15TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054507",
            "telephone_number": "206-523-8094",
            "fax_number": "206-522-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4526 15TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054507",
            "telephone_number": "206-523-8094",
            "fax_number": "206-522-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-523-8094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00003310",
            "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 22, 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.