Organization Active NPI

Anusha R Etikala BDS Ms PLLC

  • Dental Clinic/Center
  • Seattle, WA
National Provider Identifier
1962361535
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ANUSHA R ETIKALA BDS MS PLLC
Practice address
2611 NE 125TH St Ste 236
Seattle, WA 98125-4357
Phone
(206) 365-5880
Fax
(206) 365-6412
NPI assigned
Jan 20, 2026
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Dr. Anusha R Etikala, BDS, MSNPI 1518511369
Title
Owner Dentist
Phone
(206) 365-5880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2611 NE 125TH St Ste 236
Seattle, WA 98125-4357

Mailing address

2611 NE 125TH St Ste 236
Seattle, WA 98125-4357
Phone (206) 365-5880

National Provider Directory

National Provider Directory

Locations

2611 NE 125th St
Ste 236
Seattle, WA 98125
Phone (206) 365-5880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1962361535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 NE 125TH ST STE 236",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254357",
            "telephone_number": "206-365-5880",
            "fax_number": "206-365-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 NE 125TH ST STE 236",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254357",
            "telephone_number": "206-365-5880",
            "fax_number": "206-365-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANUSHA R ETIKALA BDS MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "ETIKALA",
        "authorized_official_first_name": "ANUSHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "206-365-5880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Jan 20, 2026; 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.