Organization Active NPI

David J Haralson

  • Oral and Maxillofacial Surgery (Dentist)
  • Seattle, WA
National Provider Identifier
1952788150
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DE60295571 Issued in WA
Legal business name
DAVID J HARALSON
Practice address
509 Olive Way Ste 1331
Seattle, WA 98101-1743
Phone
(206) 624-0852
NPI assigned
Apr 27, 2015
Last updated
Apr 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
David Haralson
Title
Owner/MD, DMD
Phone
(206) 624-0852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DE60295571 WA Primary

Addresses

Primary practice location

509 Olive Way Ste 1331
Seattle, WA 98101-1743

Mailing address

509 Olive Way Ste 1331
Seattle, WA 98101-1743
Phone (206) 624-0852

National Provider Directory

National Provider Directory
Tax ID family
David J Haralson3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1952788150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1331",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011743",
            "telephone_number": "206-624-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1331",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011743",
            "telephone_number": "206-624-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J HARALSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "HARALSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/MD, DMD",
        "authorized_official_telephone_number": "206-624-0852"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE60295571",
            "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 Apr 27, 2015; 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.