Active NPI
Jennifer Leah Alexander, D.D.S.
- Dentist
- Bothell, WA
National Provider Identifier
1932228566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00010283
- Practice address
- 10414 Beardslee Blvd Ste 200
Bothell, WA 98011-3205 - Phone
- (425) 424-6350
- Fax
- (425) 424-6395
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Seatac, WA
- NPI 1831778620
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160721002455 | WA | Order and Referring Only - Dentist | 5496048852 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00010283 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpoint | Past | Accepting new patients |
Interoperability endpoints
- jennifer.alexander.p3@direct.hpc.nextgenshare.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00010283 | WA | |
| Dentist | 122300000X | DE00010283 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
10414 Beardslee Blvd Ste 200
Bothell, WA 98011-3205
Mailing address
955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311
Other practice location 1
955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311
Other names 1
NPPES NPI Registry- Jennifer Leah Bowman
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jalexander18750@healthpoint.direct-ci.com |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 13, 2024.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1932228566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 POWELL AVE SW",
"city": "RENTON",
"state": "WA",
"postal_code": "980572908",
"telephone_number": "425-277-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10414 BEARDSLEE BLVD STE 200",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980113205",
"telephone_number": "425-424-6350",
"fax_number": "425-424-6395"
}
],
"practiceLocations": [
{
"address_1": "955 Powell Ave SW",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980572908",
"country_code": "US",
"telephone_number": "425-277-1311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALEXANDER",
"first_name": "JENNIFER",
"middle_name": "LEAH",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00010283",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00010283",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jalexander18750@healthpoint.direct-ci.com",
"affiliation": "N",
"address_1": "10414 Beardslee Blvd Ste 200",
"city": "Bothell",
"state": "WA",
"country_code": "US",
"postal_code": "980113205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "BOWMAN",
"middle_name": "LEAH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.