DONNA LOUISE MASSOTH (NPI# 1649214925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649214925 |
| Entity Type | Individual |
| Full Name | DONNA LOUISE MASSOTH |
| Credential | DDS MSD PH D |
| Practice Address |
4500 Sand Point Way Ne #218 Seattle WA 98105-3900 |
| Practice Telephone | 2065243773 |
| Practice Fax Number | 2065267361 |
| Mailing Telephone | 2065243773 |
| Mailing Fax Number | 2065267361 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DE00005905 | WA | Dental Providers |
| Street Address |
4500 SAND POINT WAY NE #218 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356321129 | John L Bastien | Anesthesiology | 4500 Sand Point Way Ne, #100, Seattle, WA 98105-3900 | 2006-01-18 |
| 1659802429 | Adrienne Schlatter | Pediatrics | 4500 Sand Point Way Ne, Seattle, WA 98105-3900 | 2017-03-23 |
| 1033433933 | Jon L. Way Dds, Ms | Dentist | 4500 Sand Point Way Ne, Seattle, WA 98105-3900 | 2010-03-22 |
| 1346410719 | Allyson Stewart Dkeidek | Dentist | 4500 Sand Point Way Ne, Suite 208, Seattle, WA 98105-3900 | 2008-03-03 |
| 1548485980 | Jennifer Jean Soares | Pediatrics | 4500 Sand Point Way Ne, Seattle, WA 98105-3900 | 2007-04-13 |
| 1902996895 | J. Craig Jackson | Pediatrics | 4500 Sand Point Way Ne, Seattle Children's Hospital Fa-2, Seattle, WA 98105-3900 | 2006-10-13 |
| 1306957147 | Steven Douglas Smutka | Dentist | 4500 Sand Point Way Ne, Suite 208, Seattle, WA 98105-3925 | 2006-08-31 |
| 1255449963 | The Association of Chrmc and University Physicians | Surgery | 4500 Sand Point Way Ne, Seattle, WA 98105-3900 | 2006-08-25 |
| 1811926553 | Gordon Alan Sako | Dentist | 4500 Sand Point Way Ne, Suite #212, Seattle, WA 98105-3900 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653397 | Rika Takada | Dentist | B403 Health Sciences Building, Seattle, WA 98195-0001 | 2020-06-14 |
| 1467074757 | Amit Srikant Gharpure | Dentist | 1959 Ne Pacific Street Health Science Center Room B-403, Seattle, WA 98195-0001 | 2020-05-10 |
| 1164890026 | Shih-chung Liao | Dentist | 720 Olive Way Ste 810, Seattle, WA 98101-1836 | 2015-09-09 |
| 1093147068 | Etheridge Family Dentistry | Dentist | 3130 E Madison St Ste 103, Seattle, WA 98112-4221 | 2013-08-01 |
| 1790036903 | Neal Christopher Raval | Dentist | 2801 1st Avenue, #509, Seattle, WA 98121 | 2012-09-27 |
| 1083971238 | Yung-ting Hsu | Dentist | 1959 Ne Pacific St # D-554, Seattle, WA 98195-7444 | 2012-04-12 |
| 1760760847 | Martin J. Campbell | Dentist | 2046 Westlake Ave N Ste 204, Seattle, WA 98109-2753 | 2011-07-24 |
| 1962739102 | David Au-yeung, Dmd., Pllc | Dentist | 2033 2nd Ave, #906, Seattle, WA 98121-2242 | 2009-11-09 |
| 1760465306 | Thomas Patrick Sweeney | Dentist | 701 5th Ave Ste 4660, Seattle, WA 98104-7057 | 2005-11-29 |
| 1326044058 | Er-jia Mao | Dentist | 2111 N Northgate Way, Ste 215, Seattle, WA 98133-9018 | 2005-06-27 |
| 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.