Organization Active NPI

Wellness Dental Inc

  • Dentist
  • Bellevue, WA
National Provider Identifier
1912217563
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60129770 Issued in WA
Legal business name
WELLNESS DENTAL INC
Doing business as
Bellevue Wellness Dental
Practice address
12360 NE 8TH St
Suite 250
Bellevue, WA 98005-4801
Phone
(425) 453-2222
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Dr. Stanford ChenNPI 1144467234
Title
Owner/General Dentist
Phone
(425) 453-2222

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE60129770 WA Primary

Addresses

Primary practice location

12360 NE 8TH St
Suite 250
Bellevue, WA 98005-4801

Mailing address

12360 NE 8TH St. Ste 250
Bellevue, WA 98005
Phone (425) 453-2222

Other names 1

  • Bellevue Wellness Dental Doing business as

National Provider Directory

National Provider Directory

Locations

12360 NE 8th St
Ste 250
Bellevue, WA 98005
Phone (425) 253-2222

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": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1912217563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 NE 8TH ST. STE 250",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "425-453-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 NE 8TH ST",
            "address_2": "SUITE 250",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054801",
            "telephone_number": "425-453-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "STANFORD",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "425-453-2222",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60129770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Wellness Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.