Organization Active NPI

Columbia City Dental

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1891128468
Registry record updated Aug 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60102882 Issued in WA
Legal business name
COLUMBIA CITY DENTAL
Practice address
3810 S Ferdinand St Ste 201
Seattle, WA 98118-1750
Phone
(206) 743-8356
Fax
(206) 829-8961
NPI assigned
Aug 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2013

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

Authorized official

Name
Dr. Meghan Zoe Crawford, DDSNPI 1811129828
Title
Owner
Phone
(206) 790-0678

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE60102882 WA Primary

Addresses

Primary practice location

3810 S Ferdinand St Ste 201
Seattle, WA 98118-1750

Mailing address

3810 S Ferdinand St Ste 201
Seattle, WA 98118-1750
Phone (206) 743-8356

National Provider Directory

National Provider Directory

Locations

3810 S Ferdinand St
Ste 201
Seattle, WA 98118
Phone (206) 723-7848

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1376784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376784000000",
    "number": "1891128468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 S FERDINAND ST STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181750",
            "telephone_number": "206-743-8356",
            "fax_number": "206-829-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 S FERDINAND ST STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181750",
            "telephone_number": "206-743-8356",
            "fax_number": "206-829-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA CITY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-18",
        "last_updated": "2013-08-18",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_middle_name": "ZOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-790-0678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60102882",
            "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 Aug 18, 2013; 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.