WEDGWOOD SMILES (NPI# 1689111999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689111999 |
| Entity Type | Organization |
| Organization Name | WEDGWOOD SMILES |
| Practice Address |
8014 35th Ave Ne Seattle WA 98115-4815 |
| Practice Telephone | 2065256636 |
| Practice Fax Number | 2065254469 |
| Mailing Telephone | 2065256636 |
| Mailing Fax Number | 2065254469 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | KIMMI HANSEN (OFFICE MANAGER) |
| Authorized Official Telephone | 2065256636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DE60231280 | WA | Ambulatory Health Care Facilities |
| Street Address |
8014 35TH AVE NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98115-4815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356447973 | Brian R Faber Dds Ps | Dentist | 8014 35th Ave Ne, Seattle, WA 98115 | 2006-09-15 |
| 1205998796 | Cesar O Cruz | Dentist | 8014 35th Ave Ne, Seattle, WA 98115-4815 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
| 1396387346 | Catherine Erickson | Social Worker | 6527 - 21st Ave Ne, Suite 4, Seattle, WA 98115 | 2019-10-10 |
| 1275003857 | Margaret Ellen Haber | Social Worker | 2400 Ne 95th Street, Seattle, WA 98115 | 2018-11-27 |
| 1528584513 | Katharine Huntington Poinier | Registered Nurse | 8521 5th Avenue Ne, Seattle, WA 98115 | 2017-08-21 |
| 1750802229 | Cody David Pollock | Student in an Organized Health Care Education/Training Program | 1959 Northeast Pacific Street, Box 357115 University of Washington Medical Center, Seattle, WA 98115 | 2017-07-05 |
| 1144759416 | Amber Padron | Behavior Technician | 6537 Oswego Place Ne, Apt 8, Seattle, WA 98115 | 2017-06-08 |
| 1639603509 | Matthew Vanwinkle | Physical Therapist | 3290 Ne 65th Street, Unit 101, Seattle, WA 98115 | 2017-04-17 |
| 1538607650 | Karen Van Vuren | Registered Nurse | 204 Ne 94h St, Seattle, WA 98115 | 2017-02-09 |
| 1992251599 | Anders Kobbevik | Massage Therapist | 1200 Ne 65th Street, Seattle, WA 98115 | 2016-09-01 |
| 1295288181 | Brandon Marsicek | Counselor | 419 Ne 71st St Apt 407, Seattle, WA 98115 | 2016-07-27 |
| Find all providers in zip 98115 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
| 1023637725 | Urban Dental Group | Clinic/Center | 6800 Greenwood Ave N Unit A, Seattle, WA 98103-5228 | 2020-04-13 |
| 1285260067 | Sonia Kim Takasaki Dmd Pllc | Clinic/Center | 9730 3rd Ave Ne Ste 204, Seattle, WA 98115-2023 | 2020-03-12 |
| 1396396339 | Megan K. Burns, Dds, Pllc | Clinic/Center | 8757 Holman Rd Nw, Seattle, WA 98117-3464 | 2019-09-20 |
| 1275198285 | Hsu Tsuchikawa and Wong Pllc | Clinic/Center | 1453 Nw 54th Street, Suite A, Seattle, WA 98107 | 2019-05-06 |
| 1881189322 | Ahdut Bean Pllc | Clinic/Center | 4219 S Othello St Ste 105d, Seattle, WA 98118-3873 | 2018-06-27 |
| 1154825321 | Aboulhosn and Valentine Pllc | Clinic/Center | 2815 2nd Ave Ste 101, Seattle, WA 98121-1262 | 2018-03-21 |
| 1184135881 | Revive Smiles Dentistry, LLC | Clinic/Center | 259 Yale Ave N, Seattle, WA 98109-5430 | 2017-10-20 |
| 1619497872 | Julia R Moritis Dds Pllc | Clinic/Center | 509 Olive Way Ste 1520, Seattle, WA 98101-1700 | 2017-06-20 |
| 1407382211 | Yen H. Nguyen-tran Dds, Pllc | Clinic/Center | 810 Martin Luther King Jr Way, Seattle, WA 98122-5046 | 2017-05-11 |
| Find all providers in SEATTLE | ||||
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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.