ENDO NW BELLEVUE (NPI# 1790009207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790009207 |
| Entity Type | Organization |
| Organization Name | ENDO NW BELLEVUE |
| Practice Address |
1545 116th Ave Ne Suite 102 Bellevue WA 98004-3813 |
| Practice Telephone | 4254544582 |
| Practice Fax Number | 4256469430 |
| Mailing Telephone | 4254544582 |
| Mailing Fax Number | 4256469430 |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2010-03-26 |
| Authorized Official Name | DR. KEVIN Y CHOI (OWNER) |
| Authorized Official Telephone | 4254544582 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
4517 | WA | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
7999 | WA | Dental Providers |
| Street Address |
1545 116TH AVE NE SUITE 102 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568531978 | Spektors, Dds, Ps | Dentist | 1545 116th Ave Ne, Suite 100, Bellevue, WA 98004-3059 | 2006-11-07 |
| 1134424989 | Wendy S Spektor | Dentist | 1545 116th Ave Ne, Suite 100, Bellevue, WA 98004-3813 | 2011-01-25 |
| 1457656290 | Michael David Spektor | Dentist | 1545 116th Ave Ne, Suite 100, Bellevue, WA 98004-3813 | 2011-01-25 |
| 1568597813 | Tamara Marie Tobias | Nurse Practitioner | 1545 116th Ave Ne, Suite 102, Bellevue, WA 98004-3813 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| 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 |
|---|---|---|---|---|
| 1780101113 | Elena Andronova | Dentist | 1200 116th Ave Ne Ste G1, Bellevue, WA 98004-3802 | 2017-08-25 |
| 1437534807 | Pioneer Specialty Services | Dentist | 5737 110th Ave Se, Bellevue, WA 98006-2607 | 2015-07-27 |
| 1154541084 | David Myaskovsky | Dentist | 1200 112th Ave Ne Ste C-222, Bellevue, WA 98004-3732 | 2007-04-25 |
| 1417021825 | Randall Rex Calvert | Dentist | 14420 Bel Red Road, 207, Bellevue, WA 98007 | 2006-11-17 |
| 1013980564 | Dean Allen Burnett | Dentist | 1200 112th Ave Ne Ste C245, Bellevue, WA 98004-3747 | 2006-02-07 |
| 1104292887 | Rita Lu | Dentist | 5737 110th Ave Se, Bellevue, WA 98006-2607 | 2015-08-17 |
| 1457732307 | Posner & Barbizam Pllc | Dentist | 1800 116th Ave Ne, Suite #202, Bellevue, WA 98004-3043 | 2015-06-17 |
| 1366862708 | Cascadia Dental Specialists | Dentist | 14700 Ne 8th St, Suite 205, Bellevue, WA 98007-4115 | 2014-04-24 |
| 1154664613 | Dean A Burnett Dds, Ms, Ps | Dentist | 1200 112th Ave Ne Ste C245, Bellevue, WA 98004-3747 | 2013-04-03 |
| 1831319920 | Jerome K Yamada | Dentist | 121 112th Ave Ne, Suite B, Bellevue, WA 98004-5807 | 2007-04-30 |
| Find all providers in BELLEVUE | ||||
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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.