Jeff Knudson DDS PS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60170676 Issued in WA

Legal business name

JEFF KNUDSON DDS PS

Doing business as

Brush Dental Clinic

Practice address

909 NE 45TH St
Seattle, WA 98105-4714

Phone

(206) 523-7180

Fax

(206) 523-0323

NPI assigned

Mar 18, 2013

Last updated

Mar 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey C Knudson, DDSNPI 1316250608

Title

Owner/Dentist

Phone

(206) 523-7180

Specialties & licenses 1

Addresses

Other names 1

• Brush Dental Clinic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Christopher Knudson, D.D.S

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1316250608
  NPD (past) Authorized official
• Ann Knudson, DDS

  • Dentist
  • Seattle, WA
  • NPI 1164700670
  NPD (past)

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1912249830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 NE 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054714",
            "telephone_number": "206-523-7180",
            "fax_number": "206-523-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 NE 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054714",
            "telephone_number": "206-523-7180",
            "fax_number": "206-523-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF KNUDSON DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "KNUDSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "206-523-7180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60170676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brush Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Esther Jean
• Jeannine M Wilmes LLC (Integrative Healing Choices)
• Sophia Jeannot, ARNP
• Jeany J. Lee D.D.S., P.S.
• Emily Jedlowski, AUD, CCC-A
• Katelon Tayler Jeffereys, LMP
• Jennifer Lynn Jefferies, LMHC
• Christa C Jefferis, PHARMD
• Danisha Jefferson-Christian, LMP
• Jonathan Ashley Jefferson

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

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