Organization Active NPI

University of Washington Oral & Maxillofacial Surgery Dept.

  • Oral and Maxillofacial Surgery (Dentist)
  • Seattle, WA
National Provider Identifier
1932339710
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DE60216311 Issued in WA
Legal business name
UNIVERSITY OF WASHINGTON ORAL & MAXILLOFACIAL SURGERY DEPT.
Practice address
1959 NE Pacific St
Box 357134
Seattle, WA 98195-7134
Phone
(206) 543-7722
Fax
(206) 685-7222
NPI assigned
Jul 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Dr. O. Ross Beirne, DMD, PHD
Title
Professor and Chair
Phone
(206) 543-7722

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DE60216311 WA Primary
General Acute Care Hospital 282N00000X DR 60096073 WA

Addresses

Primary practice location

1959 NE Pacific St
Box 357134
Seattle, WA 98195-7134

Mailing address

1959 NE Pacific St
Box 357134
Seattle, WA 98195-7134
Phone (206) 543-7722

National Provider Directory

National Provider Directory

Locations

1959 NE Pacific St
#357134
Seattle, WA 98195
Phone (206) 543-7496

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1932339710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "BOX 357134",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981957134",
            "telephone_number": "206-543-7722",
            "fax_number": "206-685-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "BOX 357134",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981957134",
            "telephone_number": "206-543-7722",
            "fax_number": "206-685-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WASHINGTON ORAL & MAXILLOFACIAL SURGERY DEPT.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "BEIRNE",
        "authorized_official_first_name": "O.",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PROFESSOR AND CHAIR",
        "authorized_official_telephone_number": "206-543-7722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, PHD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE60216311",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WA",
            "license": "DR 60096073",
            "primary": false
        }
    ],
    "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 Nov 5, 2012; 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.