DR. TY WILLIAM ETHERIDGE (NPI# 1720202401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720202401 |
| Entity Type | Individual |
| Full Name | DR. TY WILLIAM ETHERIDGE |
| Credential | D.D.S |
| Practice Address |
3130 E Madison St Suite 103 Seattle WA 98112-4264 |
| Practice Telephone | 2063230990 |
| Practice Fax Number | 2063230977 |
| Mailing Telephone | 2063230990 |
| Mailing Fax Number | 2063230977 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00008770 | WA | Dental Providers |
| Street Address |
3130 E MADISON ST SUITE 103 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98112-4264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124106679 | Inderjeet Kaur Ramgotra | Acupuncturist | 3130 E Madison St, #200, Seattle, WA 98112-4264 | 2006-11-01 |
| 1578916730 | Brent Spencer | Dentist | 3130 E Madison St, Suite 103, Seattle, WA 98112-4264 | 2016-07-22 |
| 1598189730 | Carla D Curio | Counselor | 3130 E Madison St, Suite 203 A, Seattle, WA 98112-4264 | 2014-02-07 |
| 1467713487 | Connie C. Curlett | Counselor | 3130 E Madison St, #203b, Seattle, WA 98112-4264 | 2012-06-06 |
| 1225329311 | Eva Papp | Counselor | 3130 E Madison St, 203-b, Seattle, WA 98112-4264 | 2011-04-25 |
| 1689991093 | Witold Krassowski IIi | Acupuncturist | 3130 E Madison St, Suite 200, Seattle, WA 98112-4264 | 2010-04-24 |
| 1942484548 | Alison E Withey | Counselor | 3130 E Madison St, Suite 203b, Seattle, WA 98112-4264 | 2007-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254991 | Justin Jeng-young Fu | Student in an Organized Health Care Education/Training Program | 125 16 Th Ave E, Csb 545, Seattle, WA 98112 | 2019-03-18 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1992228191 | John Joseph Folta | Chiropractor | 3121 E Madison St Ste 103a, Seattle, WA 98112 | 2017-07-19 |
| 1083161061 | Sheick Toure | Counselor | 122 16 Ave E, Seattle, WA 98112 | 2016-09-07 |
| 1457721805 | Jessica Donovan | Audiologist | 201 16th Ave E # Cmb, Seattle, WA 98112 | 2015-09-29 |
| 1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
| 1225419005 | Adrienne Foley | Counselor | 1833 40th Ave. E., Seattle, WA 98112 | 2015-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1134548068 | Anne Gayman | Family Medicine | 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 | 2014-04-08 |
| Find all providers in zip 98112 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789082 | Kim & Cervantes-kim Dds Pllc | Dentist | 945 Elliott Ave W Ste 212, Seattle, WA 98119-3645 | 2020-10-27 |
| 1790383867 | Washington Dental Corporation, PC | Dentist | 620 1st Ave N, Seattle, WA 98109-4001 | 2020-10-12 |
| 1275140535 | Byeonguk Kang | Dentist | 1959 Ne Pacific St Rm B403, Seattle, WA 98195-0001 | 2020-09-29 |
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1073138558 | Mijin Choi | Dentist | 285 8th Ave N Apt 204, Seattle, WA 98109-5173 | 2020-06-10 |
| 1578020632 | Abu & Del Rosario, Pllc | Dentist | 1220 Howell St Ste 110, Seattle, WA 98101-1407 | 2019-02-25 |
| 1649755505 | William Lowrey | Dentist | 836 Ne 67th St Apt 712, Seattle, WA 98115-5882 | 2018-09-26 |
| 1215419809 | Gregory Arlen Maggass Jr. | Dentist | 4222 7th Ave Ne Apt 8, Seattle, WA 98105-6086 | 2018-08-30 |
| 1295214757 | Suzanne S Hall | Dentist | 515 N 138th St, Seattle, WA 98133-7420 | 2018-08-07 |
| 1871088195 | Hanbit Chi, Dds, Ps | Dentist | 1331 Harbor Ave Sw Ste 100, Seattle, WA 98116-1776 | 2018-06-28 |
| 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.