Calley Christie DMD PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CALLEY CHRISTIE DMD PLLC

Practice address

275 SW 160TH St Ste 115
Burien, WA 98166-3003

Phone

(206) 683-6473

NPI assigned

Oct 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Calley Christie, DMD

Title

Oral Surgeon

Phone

(206) 683-6473

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southwest Seattle Oral Surgery Doing business as

Locations

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602374400000",
    "number": "1952909145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 SW SULLIVAN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263635",
            "telephone_number": "206-683-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SW 160TH ST STE 115",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663003",
            "telephone_number": "206-683-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLEY CHRISTIE DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-11",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "CALLEY",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "206-683-6473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801039144",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Seattle Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Walker Bushyhead, MD
• Pierre-Yves Frederic Butheau, M.S.P.T.
• David J. Butler, M.D.
• Jefferson Butler
• Cindy Cabalo
• Mirella Camarena-Rios, LPN
• Lorelei Camilloni, RN
• Jennie Campbell, LMP
• Ashlyn Nicole Campos
• Ravenna Candy

• Oral and Maxillofacial Surgery (Dentist) in Burien, WA
• Providers in Burien, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.