NPIMap

Organization Active NPI

Douglas a Seymour, DDS, PS

Doing business as Oak Tree Family Dental Care

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1952496879
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6613 Issued in WA
Legal business name
DOUGLAS A SEYMOUR, DDS, PS
Doing business as
Oak Tree Family Dental Care
Practice address
10004 Aurora Ave N
Suite 14
Seattle, WA 98133-9349
Phone
(206) 363-4300
Fax
(206) 985-3862
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Douglas A Seymour, DDS
Title
Owner
Phone
(206) 363-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6613 WA Primary

Addresses

Primary practice location

10004 Aurora Ave N
Suite 14
Seattle, WA 98133-9349

Mailing address

10004 Aurora Ave N
Suite 14
Seattle, WA 98133-9349
Phone (206) 363-4300

Other identifiers 3

IdentifierTypeStateIssuer
6613OtherWADENTAL LICENSE
10218OtherWADENTAL LICENSE
9383OtherWADENTAL LICENSE

Other names 1

  • Oak Tree Family Dental Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952496879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 AURORA AVE N",
            "address_2": "SUITE 14",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339349",
            "telephone_number": "206-363-4300",
            "fax_number": "206-985-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 AURORA AVE N",
            "address_2": "SUITE 14",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339349",
            "telephone_number": "206-363-4300",
            "fax_number": "206-985-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A SEYMOUR, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEYMOUR",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-363-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "6613",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "10218",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "9383",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Tree Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.