DR. JASON P PEHLING DDS MS NPI 1962457036

NPI Information

NPI: 1962457036
Provider Name: DR. JASON P PEHLING, DDS, MS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
2111 N NORTHGATE WAY
STE. 221
SEATTLE, WA
ZIP 98133
Phone: (206) 363-8240
Get Directions

DR. Jason P Pehling, DDS, MS is a general practice dentist in Seattle, WA. The provider is 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. DR. Jason P Pehling, DDS, MS NPI is 1962457036. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2111 N NORTHGATE WAY
STE. 221
SEATTLE, WA
ZIP 98133
Phone: (206) 363-8240
Fax: (206) 363-8301

The NPI 1962457036 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/24/2006 and was last updated on 3/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	DE00008992	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	155609	OTHER	WASHINGTON	LABOR AND INDUSTRIES
2	GAB26856	MEDICARE PIN	WASHINGTON
3	60054	OTHER	WASHINGTON	AETNA MEDICAL
4	SB930	OTHER	WASHINGTON	PREMERA MEDICAL
5	77777	OTHER	WASHINGTON	DELTA DENTAL
6	932000	OTHER		REGENCE
7	93200	OTHER	WASHINGTON	BLUE CROSS BLUE SHIELD
8	62308	OTHER	WASHINGTON	CIGNA
9	91131	OTHER	WASHINGTON	CARPENTER'S HEALTH PLAN
10	47570	OTHER	WASHINGTON	PREMERA DENTAL
11	60054	OTHER	WASHINGTON	AETNA DENTAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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