Anthony A Santorsola, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00005614 Issued in WA

Practice address

5723 NE Bothell Way
Ste a
Kenmore, WA 98028

Phone

(206) 525-2813

Fax

(425) 483-1414

NPI assigned

Sep 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Anthony a Santorsola, DDS

  • General Practice Dentistry
  • Kenmore, WA
  • NPI 1508169798
  NPD (past)
• Quirt, Mongrain, Gibree, P.C.

  dba Kenmore Dentistry

  • General Practice Dentistry
  • Kenmore, WA
  • NPI 1336630615
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922101096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5723 NE BOTHELL WAY",
            "address_2": "STE A",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "98028",
            "telephone_number": "206-525-2813",
            "fax_number": "425-483-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5723 NE BOTHELL WAY",
            "address_2": "STE A",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "98028",
            "telephone_number": "206-525-2813",
            "fax_number": "425-483-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORSOLA",
        "first_name": "ANTHONY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00005614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria A Rotton, L.M.H.C.
• Safeway Inc (Safeway Pharmacy #3500)
• Azalea Salter
• Jeffrey Samyn, D.D.S., M.S.D.
• Susan Santiago-Turner, PHD, LMHC
• Sharon A. Saul, M.A.
• Caroline Sausler, LM, CPM
• Kiersten Schneider
• Larissa Severson, LMHC, CN
• Ann Shepherd, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.