Active NPI
Jadine Catherine Acena, DDS
- Dentist
- Seattle, WA
National Provider Identifier
1942368873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5208
- Practice address
- 509 Olive Way
Suite 1563 Medical Dental BDG
Seattle, WA 98101 - Phone
- (206) 623-0483
- Fax
- (206) 623-0770
- NPI assigned
- Dec 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 5208 | WA | Primary |
Addresses
Primary practice location
509 Olive Way
Suite 1563 Medical Dental BDG
Seattle, WA 98101
Mailing address
509 Olive Way
Suite 1563 Medical Dental BDG
Seattle, WA 98101
Phone (206) 623-0483
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 |
|---|---|---|---|
| 5208 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acena Aesthetic Dentistry & Associates | Dentist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Seattle, WA
- NPI 1841424736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942368873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 OLIVE WAY",
"address_2": "SUITE 1563 MEDICAL DENTAL BDG",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98101",
"telephone_number": "206-623-0483",
"fax_number": "206-623-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 OLIVE WAY",
"address_2": "SUITE 1563 MEDICAL DENTAL BDG",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98101",
"telephone_number": "206-623-0483",
"fax_number": "206-623-0770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACENA",
"first_name": "JADINE",
"middle_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "5208",
"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.