PETER DOUGLAS (NPI# 1861999864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861999864 |
| Entity Type | Individual |
| Full Name | PETER DOUGLAS |
| Credential | DDS |
| Practice Address |
32105 1st Ave S Ste B3 Federal Way WA 98003-5719 |
| Mailing Address |
4728 40th Ave Ne Apt 3b Seattle WA 98105-3933 |
| Practice Telephone | 2538382560 |
| Mailing Telephone | 7125606260 |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
61039600 | WA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4018 A St Se Ste 405, Auburn, WA 980023858 | 2537930711 | |
| 6222 Ne 74th St # 354915, Seattle, WA 981158158 | 2065435800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821274879 | Peter A Douglas | Social Worker | 103 E 86th St, Suite 1w, New York, NY 10028-1058 | 2008-01-20 |
| 1194803783 | Peter R. Douglas | Surgery | 1200 El Camino Real, South San Francisco, CA 94080-3208 | 2006-11-01 |
| Street Address |
32105 1ST AVE S STE B3 |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-5719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134685589 | Wayne E. Svoboda Dds PC | Clinic/Center | 32105 1st Ave S Ste B3, Federal Way, WA 98003-5719 | 2019-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528603503 | Ellen Polsky Dds and Bobby Virk Dmd, Ps | Dentist | 34704 11th Pl S Ste 101, Federal Way, WA 98003-8730 | 2019-11-13 |
| 1992850234 | Sidney R Gallegos Dds | Dentist | 926 S 348th St, Federal Way, WA 98003-7021 | 2007-01-25 |
| 1669548103 | Sidney R Gallegos | Dentist | Sidney R Gallegos Dds Ps, 926 S 348th, Federal Way, WA 98003 | 2006-11-27 |
| 1386923399 | Caroline Susan Teel Shaw | Dentist | 2317 Sw 320th St, Federal Way, WA 98023-2567 | 2011-08-08 |
| 1134417017 | Loan Thi Nguyen | Dentist | 34700 11th Pl S, Federal Way, WA 98003 | 2011-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807890 | Plateau Kids Dentistry, LLC | Dentist | 2912 228th Ave Se Ste A, Sammamish, WA 98075-9305 | 2020-07-05 |
| 1942843552 | Laura Stewart Dds Pllc | Dentist | 6821 Ne 181st St, Kenmore, WA 98028-5034 | 2019-10-26 |
| 1639736119 | Southcenter Children's Dentistry | Dentist | 411 Strander Blvd Ste 303, Tukwila, WA 98188-2924 | 2019-05-21 |
| 1770147001 | Kaitlin Neste Pllc | Dentist | 360 Tormey Ln Ne Ste 198, Bainbridge Island, WA 98110-1990 | 2019-04-22 |
| 1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
| 1497248017 | Jinju Song Dmd Pllc | Dentist | 9707 Ne 119th Way, Kirkland, WA 98034-8955 | 2018-06-08 |
| 1669994042 | Annikka Louise Frostad-thomas | Dentist | 700 Nw Gilman Blvd # E412, Issaquah, WA 98027-5395 | 2017-07-07 |
| 1831624402 | Minh Dau, Dds and Raymond Park, Dds Pllc | Dentist | 3105 Alderwood Mall Blvd, Suite 117, Lynnwood, WA 98036-4703 | 2017-04-20 |
| 1306370572 | Sonu Lamba and Paul S Kahlon, Ps | Dentist | 13209 44th Ave Se, Mill Creek, WA 98012-8985 | 2017-04-14 |
| 1982057030 | Jenn-yih Lin Dds Ms Pllc | Dentist | 10202 5th Ave Ne Ste 101, Seattle, WA 98125-7472 | 2016-07-13 |
| Find all providers with the same taxonomy | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
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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.