NPIMap

Organization Active NPI

Silverlake Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Everett, WA
National Provider Identifier
1972113652
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SILVERLAKE ORTHODONTICS
Practice address
10812 19TH Ave SE
Everett, WA 98208-5153
Phone
(425) 338-5414
Fax
(425) 338-5744
NPI assigned
Aug 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Authorized official

Name
Dr. William Oliver, DDS, MSCNPI 1346265857
Title
Ceo and Owner
Phone
(425) 338-5414

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

10812 19TH Ave SE
Everett, WA 98208-5153

Mailing address

10812 19TH Ave SE
Everett, WA 98208-5153
Phone (425) 338-5414

Other names 1

  • South Everett Orthodontist Doing business as

National Provider Directory

National Provider Directory

Locations

10812 19th Ave SE
Everett, WA 98208
Phone (425) 338-5414

Practitioners & affiliated clinicians

Practitioners 3

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": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1972113652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10812 19TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085153",
            "telephone_number": "425-338-5414",
            "fax_number": "425-338-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10812 19TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085153",
            "telephone_number": "425-338-5414",
            "fax_number": "425-338-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERLAKE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO AND OWNER",
        "authorized_official_telephone_number": "425-338-5414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Everett Orthodontist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.