Active NPI
Edward L Bruce II, D.D.S., P.S.
- Dentist
- Seattle, WA
National Provider Identifier
1932327574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3903
- Practice address
- 115 S 177TH PL
Seattle, WA 98148-1782 - Phone
- (206) 242-1500
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 3903 | WA | Primary |
Addresses
Primary practice location
115 S 177TH PL
Seattle, WA 98148-1782
Mailing address
115 S. 177TH PL
Seattle, WA 98148
Phone (206) 242-1500
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 |
|---|---|---|---|
| 3903 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan Everett DDS PLLC | Past | Accepting new patients | |
| Daniel Travelle DDS and Kathleen Travelle DDS, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Travelle Family Dentistry
- Dental Clinic/Center
- Seattle, WA
- NPI 1265873806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932327574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 S. 177TH PL",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98148",
"telephone_number": "206-242-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 S 177TH PL",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981481782",
"telephone_number": "206-242-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "EDWARD",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.D.S., P.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "3903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.