Active NPI
Jeffrey D. Huleatt, D.D.S.
- General Practice Dentistry
- Arlington, WA
National Provider Identifier
1972514453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00006048
- Practice address
- 20210 77TH Ave NE
Arlington, WA 98223-4602 - Phone
- (360) 435-2151
- Fax
- (360) 435-7845
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00006048 | WA | Primary |
Addresses
Primary practice location
20210 77TH Ave NE
Arlington, WA 98223-4602
Mailing address
20210 77TH Ave NE
P O Box 98
Arlington, WA 98223-0098
Phone (360) 435-2151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE00006048 | Other | WA | STATE LICENSE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00006048 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972514453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20210 77TH AVE NE",
"address_2": "P O BOX 98",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982230098",
"telephone_number": "360-435-2151",
"fax_number": "360-435-7845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20210 77TH AVE NE",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982234602",
"telephone_number": "360-435-2151",
"fax_number": "360-435-7845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULEATT",
"first_name": "JEFFREY",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00006048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE ID",
"identifier": "DE00006048",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.