NPIMap

Organization Active NPI

Seattle Roots Community Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
National Provider Identifier
1952883993
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SEATTLE ROOTS COMMUNITY HEALTH
Practice address
510 19TH Ave E
Suite 150
Seattle, WA 98112
Phone
(206) 299-1611
Fax
(206) 299-1920
NPI assigned
Sep 6, 2018
Organization subpart
Yes
Parent organization
SEATTLE ROOTS COMMUNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Angie Treptow
Title
Interim Director of Finance
Phone
(206) 299-1937

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X WA
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

510 19TH Ave E
Suite 150
Seattle, WA 98112

Mailing address

2101 E Yesler Way
Suite 210
Seattle, WA 98122-5959
Phone (206) 709-7112

Other identifiers 1

IdentifierTypeStateIssuer
2113770MedicaidWA

Other names 1

  • Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Country Doctor Comm Clinic9 organizations share this tax ID, including this one
Part of
Country Doctor Comm Clinic

Other organizations with this tax ID 8

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1952883993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E YESLER WAY",
            "address_2": "SUITE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225959",
            "telephone_number": "206-709-7112",
            "fax_number": "206-299-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 19TH AVE E",
            "address_2": "SUITE 150",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98112",
            "telephone_number": "206-299-1611",
            "fax_number": "206-299-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE ROOTS COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEATTLE ROOTS COMMUNITY HEALTH",
        "enumeration_date": "2018-09-06",
        "last_updated": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "TREPTOW",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "INTERIM DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "206-299-1937"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2113770",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Clinic",
            "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 May 20, 2024; 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.