JAKE WEISSMAN DDS MSD PLLC (NPI# 1730633637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730633637 |
Entity Type | Organization |
Organization Name | JAKE WEISSMAN DDS MSD PLLC |
Other Organization Name | RAINIER ENDODONTICS |
Practice Address |
1101 Madison St Suite 1290 Seattle WA 98104-1306 |
Practice Telephone | 2069395600 |
Enumeration Date | 2016-08-09 |
Last Update Date | 2016-08-09 |
Authorized Official Name | JAKE WEISSMAN (OWNER) |
Authorized Official Telephone | 2069395600 |
Authorized Official Credential | D.D.S, M.S.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
60278687 | WA | Dental Providers |
Other Name | Type Code |
---|---|
Rainier Endodontics | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | JAKE WEISSMAN DDS MSD PLLC | 1101 Madison St, Suite 1290, Seattle, WA 98104-3510 |
Street Address |
1101 MADISON ST SUITE 1290 |
City | SEATTLE |
State | WA |
Zip Code | 98104-1306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154324812 | Gregory A. Grant | Podiatrist | 1101 Madison St, Suite 301, Seattle, WA 98104-1306 | 2005-05-24 |
1699309260 | Kristin D Covey | Registered Nurse | 1101 Madison St, Ste 700, Seattle, WA 98104-3599 | 2020-02-23 |
1083151914 | Alaska Plastic Surgery LLC | Plastic Surgery | 1101 Madison St, Suite 1270, Seattle, WA 98104-1306 | 2017-01-30 |
1740727106 | Proliance Surgeons, Inc., P.s. | Obstetrics & Gynecology | 1101 Madison St, Suite 950, Seattle, WA 98104-1306 | 2017-01-24 |
1326584673 | Proliance Surgeons, Inc., P.s. | Obstetrics & Gynecology | 1101 Madison St, Suite 1150, Seattle, WA 98104-1306 | 2017-01-10 |
1790231116 | Alexandra Brook Fleming | Social Worker | 1101 Madison St, Suite 500, Seattle, WA 98104-1306 | 2016-08-26 |
1558815142 | Chelsea Reed | Nurse Practitioner | 1101 Madison St, Suite 1050, Seattle, WA 98104-1306 | 2016-08-11 |
1053764423 | Susan M Vetto | Nurse Practitioner | 1101 Madison St, Suite 850, Seattle, WA 98104-1306 | 2016-07-20 |
1790145530 | Laura Bartlett | Nurse Practitioner | 1101 Madison St, Ste 700, Seattle, WA 98104-1306 | 2016-03-04 |
1417321936 | Cecilia Lynn | Nurse Practitioner | 1101 Madison St, First Hill Campus, Suite 510, Seattle, WA 98104-1306 | 2015-11-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
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Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881077907 | David Jungjoo Kang | Dentist | 509 Olive Way Ste 1633, Seattle, WA 98101-1770 | 2015-07-07 |
1215356639 | Callie M Smithson | Dentist | 2743 California Ave Sw Unit 200, Seattle, WA 98116-2495 | 2014-04-14 |
1881977346 | Victor K Marfo | Dentist | 10101 8th Ave S Apt L118, Seattle, WA 98168-5521 | 2011-09-21 |
1770819245 | Carina L Lea | Dentist | 701 N 34th St Ste 210, Seattle, WA 98103-3414 | 2009-10-19 |
1295901734 | Don Henry Pratten | Dentist | 5016 California Ave Sw, #101, Seattle, WA 98136-1232 | 2008-05-05 |
1417167156 | Theodore F Pilot | Dentist | 1229 Madison St Ste 1140, Seattle, WA 98104-3587 | 2007-05-23 |
1720100290 | Matthew Arthur Mandel | Dentist | 4341 Roosevelt Way Ne, Seattle, WA 98105-4717 | 2007-04-04 |
1144349119 | Mark Earl Germack | Dentist | 720 Olive Way Ste 835, Seattle, WA 98101-1853 | 2007-03-28 |
1013094390 | Lynnetta Jeanne Odell | Dentist | 509 Olive Way Ste 1511, Seattle, WA 98101-1749 | 2006-11-01 |
1881704427 | Rachelle S Hecht | Dentist | 5016 California Ave Sw # 101, Seattle, WA 98136-1232 | 2006-08-30 |
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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.