JOHN EDWARD HELDRIDGE (NPI# 1093924243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093924243 |
| Entity Type | Individual |
| Full Name | JOHN EDWARD HELDRIDGE |
| Credential | D.D.S. |
| Practice Address |
21701 76th Ave W Suite 202 Edmonds WA 98026-7536 |
| Practice Telephone | 4257441724 |
| Mailing Telephone | 4257441724 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DE00004286 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5350608 | 05 |
| Street Address |
21701 76TH AVE W SUITE 202 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-7536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275586307 | Sharon Ann Nicolazzi | Dermatology | 21701 76th Ave W, Suite 100, Edmonds, WA 98026-7536 | 2006-05-18 |
| 1437515442 | Integrative Psychological and Social Services | Psychologist | 21701 76th Ave W, Suite 302, Edmonds, WA 98026 | 2016-01-06 |
| 1437438058 | Community Health Center of Snohomish County | Clinic/Center | 21701 76th Ave W, Suite 300, Edmonds, WA 98026-7536 | 2011-08-12 |
| 1063720456 | Jrk Pharma Inc | Clinic/Center | 21701 76th Ave W, Ste 104 B, Edmonds, WA 98026-7536 | 2010-09-20 |
| 1982911442 | Jrk Pharma Inc | Clinic/Center | 21701 76th Ave W, Ste 104 A, Edmonds, WA 98026-7536 | 2010-09-04 |
| 1518297613 | Ward Martin Smalley | Dentist | 21701 76th Ave W, Suite 204, Edmonds, WA 98026-7536 | 2010-01-12 |
| 1740410885 | Robert R Faucher | Dentist | 21701 76th Ave W, Ste 204, Edmonds, WA 98026-7536 | 2009-07-23 |
| 1932345840 | Puget Sound Dermatology, Pllc | Dermatology | 21701 76th Ave W, Suite 302, Edmonds, WA 98026 | 2008-12-23 |
| 1811171275 | Edmonds Oral Surgery, P.s. | Clinic/Center | 21701 76th Ave W, #202, Edmonds, WA 98026-7536 | 2007-12-20 |
| 1457547655 | Kean B. Lawlor, Md, Pllc | Dermatology | 21701 76th Ave W, Suite 100, Edmonds, WA 98026-7536 | 2007-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023451655 | Matthew Ryskalczyk | Dentist | 21701 76th Ave W Ste 202, Edmonds, WA 98026-7536 | 2013-04-13 |
| 1154456101 | Alan Ken Sato | Dentist | 21701 76th Ave W, Suite 202, Edmonds, WA 98026-7536 | 2007-02-22 |
| 1205933108 | Michael Leteff O'neil | Dentist | 21701 76th Ave W, Suite #202, Edmonds, WA 98026-7536 | 2006-09-20 |
| 1487767497 | Timothy Jay Weaver | Dentist | 21701 76th Ave W, 202, Edmonds, WA 98026-7536 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619657 | Washington Jaw and Facial Surgery Pllc | Dentist | 451 Duvall Ave Ne Ste 100, Renton, WA 98059-4675 | 2020-11-02 |
| 1952909145 | Calley Christie Dmd Pllc | Dentist | 275 Sw 160th St Ste 115, Burien, WA 98166-3003 | 2020-10-11 |
| 1679197016 | Tae Youn Dds Md Pllc | Dentist | 15808 Mill Creek Blvd Ste 202, Mill Creek, WA 98012-1500 | 2020-06-02 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1740744374 | Thompson Ferguson Schrack Pllc | Dentist | 7604 Ne 5th Ave Ste 114, Vancouver, WA 98665-8200 | 2019-01-28 |
| 1053875096 | John K Tidwell Dds and Elizabeth A Kutcipal Dds Pllc | Dentist | 1801 Nw Market St Ste 108, Seattle, WA 98107-3909 | 2019-01-23 |
| 1255803904 | Edwards, Johnson, Johnson & Johnson D.d.s., P.l.l.c. | Dentist | 601 S Carr Rd Ste 300, Renton, WA 98055-5840 | 2018-12-19 |
| 1104396969 | Mark Stivers, Dds, Inc., P.s. | Dentist | 12728 19th Ave Se Ste 101, Everett, WA 98208-6526 | 2018-12-04 |
| 1144797499 | Washington Jaw and Facial Surgery Pllc | Dentist | 1370 116th Ave Ne Ste 101, Bellevue, WA 98004-3825 | 2018-10-25 |
| 1780151027 | Washington Jaw and Facial Surgery Pllc | Dentist | 2111 N Northgate Way Ste 105, Seattle, WA 98133-9018 | 2018-10-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.