Active NPI
David Philip De Give, M.D.
- Pediatrics Physician
- Shoreline, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD169273
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500673066 | Medicaid | OR |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD169273 | OR | MD | Pediatrics Physician |
| BP10037326 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umbrella Pediatrics PC | Pediatrics | Current | 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
- 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.
-
- Pediatrics Physician
- Mountlake Terrace, WA
- NPI 1720772387
-
- Pediatrics Physician
- Shoreline, WA
- NPI 1114962446
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.