Active NPI
Christine Marie Tweedy, DDS MSD
- Dentist
- Seattle, WA
National Provider Identifier
1881794634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8359
- Practice address
- 4520 42ND Ave SW
#24
Seattle, WA 98116-4240 - Phone
- (206) 937-6481
- Fax
- (206) 937-7043
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DE00008359 | WA | |
| Dentist | 122300000X | 8359 | WA | Primary |
| General Practice Dentistry | 1223G0001X | 8359 | WA |
Addresses
Primary practice location
4520 42ND Ave SW
#24
Seattle, WA 98116-4240
Mailing address
4520 42ND Ave SW
#24
Seattle, WA 98116-4240
Phone (206) 937-6481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5031596 | Medicaid | WA |
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 |
|---|---|---|---|
| 8359 | WA | MD | Dentist |
| DE00008359 | WA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christine M Tweedy DDS MSD PS | Dentist | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1881794634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 42ND AVE SW",
"address_2": "#24",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981164240",
"telephone_number": "206-937-6481",
"fax_number": "206-937-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4520 42ND AVE SW",
"address_2": "#24",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981164240",
"telephone_number": "206-937-6481",
"fax_number": "206-937-7043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWEEDY",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DDS MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE00008359",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "8359",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "8359",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5031596",
"state": "WA"
}
],
"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 Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.