Individual provider Active NPI

David Philip De Give, M.D.

  • Pediatrics Physician
  • Shoreline, WA
National Provider Identifier
1902105174
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD169273 Issued in OR
Practice address
357 NW Richmond Beach Rd
Shoreline, WA 98177-3101
Phone
(206) 546-2421
Fax
(206) 542-9028
NPI assigned
Mar 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X BP10037326 TX
Pediatrics Physician 208000000X MD169273 OR Primary

Addresses

Primary practice location

357 NW Richmond Beach Rd
Shoreline, WA 98177-3101

Mailing address

357 NW Richmond Beach Rd
Shoreline, WA 98177-3101
Phone (206) 546-2421

Other practice location 1

16144 SE Happy Valley Town Center Dr
Suite 210
Happy Valley, OR 97086-4257
Phone (503) 427-2637

Other practice location 2

357 NW Richmond Beach Rd
Shoreline, WA 98177-3101
Phone (206) 546-2421

Other identifiers 1

IdentifierTypeStateIssuer
500673066MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723003319 WA Practitioner - Pediatric Medicine 9931645256 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD169273ORMDPediatrics Physician
BP10037326TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umbrella Pediatrics PC Pediatrics CurrentSince Apr 27, 2024 Accepting new patients
Richmond Pediatric Clinic Inc. P.S. Pediatrics Past Accepting new patients

Locations

23511 56th Ave W
Ste 105
Mountlake Terrace, WA 98043
Phone (206) 546-2421

Interoperability endpoints

  • Direct secure messaging: ddegive82387@direct.seattlechildrens.org

Organizations & group practices 2

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": "1301184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1902105174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 NW RICHMOND BEACH RD",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981773101",
            "telephone_number": "206-546-2421",
            "fax_number": "206-542-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 NW RICHMOND BEACH RD",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981773101",
            "telephone_number": "206-546-2421",
            "fax_number": "206-542-9028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16144 SE Happy Valley Town Center Dr",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Happy Valley",
            "state": "OR",
            "postal_code": "970864257",
            "country_code": "US",
            "telephone_number": "503-427-2637",
            "fax_number": "503-659-8984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "357 NW Richmond Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Shoreline",
            "state": "WA",
            "postal_code": "981773101",
            "country_code": "US",
            "telephone_number": "206-546-2421",
            "fax_number": "206-542-9028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE GIVE",
        "first_name": "DAVID",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-27",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP10037326",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD169273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500673066",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

Verify at the official NPI Registry.