Organization Active NPI

Tamara R Holliday DDS PLLC

  • Dentist
  • Seattle, WA
National Provider Identifier
1952798803
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60172193 Issued in WA
Legal business name
TAMARA R HOLLIDAY DDS PLLC
Practice address
4520 42ND Ave SW
Suite 33
Seattle, WA 98116-4240
Phone
(206) 935-3161
NPI assigned
Apr 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Dr. Tamara Reiko Holliday, DDS
Title
Owner Dentist
Phone
(206) 779-5066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE60172193 WA Primary

Addresses

Primary practice location

4520 42ND Ave SW
Suite 33
Seattle, WA 98116-4240

Mailing address

4520 42ND Ave SW
Suite 33
Seattle, WA 98116-4240
Phone (206) 935-3161

National Provider Directory

National Provider Directory

Locations

4520 42nd Ave SW
Ste 33
Seattle, WA 98116
Phone (206) 935-3161

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1952798803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 42ND AVE SW",
            "address_2": "SUITE 33",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164240",
            "telephone_number": "206-935-3161",
            "fax_number": "206-933-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 42ND AVE SW",
            "address_2": "SUITE 33",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164240",
            "telephone_number": "206-935-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA R HOLLIDAY DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "REIKO",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "206-779-5066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60172193",
            "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 17, 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.