EASTSIDE DERMATOLOGY INC PS – Pediatric Dermatology Physician, NPI 1649379231

EASTSIDE DERMATOLOGY INC PS is a healthcare provider. based in Bellevue, Washington. specializing in Pediatric Dermatology Physician. The NPI Number for EASTSIDE DERMATOLOGY INC PS is 1649379231

Main info

Organization
Name
EASTSIDE DERMATOLOGY INC PS
NPI
1649379231
Phone
(425) 454-1104
Address
14030 NE 24TH ST
Authorized Official
MRS. MELANIE A JENNINGS OFFICE MANAGER
Enumeration Date
21 September 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for EASTSIDE DERMATOLOGY INC PS

  • 14030, Northeast 24th Street, Bellevue, King County, Washington, 98007, United States

    SUITE 202

    BELLEVUE, WA 980073724

    Phone: (425) 454-1104

    Fax: (425) 454-1290

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98007)

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Reviews

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Frequently asked questions

How do payers reference EASTSIDE DERMATOLOGY INC PS?
For EASTSIDE DERMATOLOGY INC PS, use NPI 1649379231 as the unique 10-digit identifier.
Active or inactive — what applies to EASTSIDE DERMATOLOGY INC PS?
You should see EASTSIDE DERMATOLOGY INC PS as active in CMS-hosted NPPES data.
What expertise is attributed to EASTSIDE DERMATOLOGY INC PS?
EASTSIDE DERMATOLOGY INC PS's specialty line reads Pediatric Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Washington is EASTSIDE DERMATOLOGY INC PS registered?
Use Bellevue, Washington as the headline location for EASTSIDE DERMATOLOGY INC PS here.
Does EASTSIDE DERMATOLOGY INC PS accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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