Active NPI
David Robert Primrose, DDS
- General Practice Dentistry
- Issaquah, WA
National Provider Identifier
1902323553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE60812296
- Practice address
- 600 NW Gilman Blvd Ste B
Issaquah, WA 98027 - Phone
- (425) 392-6466
- NPI assigned
- Aug 24, 2017
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE60812296 | WA | Primary |
Addresses
Primary practice location
600 NW Gilman Blvd Ste B
Issaquah, WA 98027
Mailing address
883 NE 2ND St
North Bend, WA 98045-5011
Phone (206) 250-5891
Other practice location 1
1660 S Columbian Way
Seattle, WA 98108-1532
Phone (206) 764-2324
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 |
|---|---|---|---|
| DE60812296 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David R. Primrose, DDS PLLC | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rivertree Dental
- General Practice Dentistry
- Snoqualmie, WA
- NPI 1144876731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1902323553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "883 NE 2ND ST",
"city": "NORTH BEND",
"state": "WA",
"postal_code": "980455011",
"telephone_number": "206-250-5891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NW GILMAN BLVD STE B",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "98027",
"telephone_number": "425-392-6466"
}
],
"practiceLocations": [
{
"address_1": "1660 S Columbian Way",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981081532",
"country_code": "US",
"telephone_number": "206-764-2324",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRIMROSE",
"first_name": "DAVID",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE60812296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
- Premere Rehab, LLC
- Premier Pediatrics PLLC
- Wesley Premoe
- Samantha Lee Price, LMHCA
- Zoraida Michelle Price, LMHC
- Marina Prodanovic
- Proliance Surgeons Inc P S (Proliance Highlands Surgery Center)
- Proliance Surgeons Inc P S (Proliance Orthopaedics and Sports Medicine)
- Proliance Surgeons Inc., P.S. (Proliance Sports Therapy and Rehab of Issaquah)
- Proliance Surgeons Inc., P.S. (Proliance Eastside Surgeons)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.