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ETHAN MICHAEL ELIZONDO DDS
NPI 1679288104
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since January 19, 2023
4915 25TH AVE NE, SEATTLE, WA 98105(206) 524-1600(206) 524-1603 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ethan Michael Elizondo Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN MICHAEL ELIZONDO DDS (NPI 1679288104) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1679288104
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN MICHAEL ELIZONDOCredential: DDS
Location Address4915 25TH AVE NESeattle, WA 98105-5667
Mailing Address223 Circle DrCorpus Christi, TX 78411-1232 · (361) 960-3687
Phone(206) 524-1600
Fax(206) 524-1603
Sole ProprietorYes
Enumeration DateJanuary 19, 2023
NPPES CertifiedJanuary 17, 2023
✔ NPI 1679288104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4915 25TH AVE NE, Seattle, WA 98105
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CURTIS RINDAL DC
Chiropractor
4915 25TH AVE NE, #104W
SEATTLE, WA 98105
King County (206) 315-7998
DR. DONNA JEAN QUINBY DMD, MSD
Dentist (Pediatric Dentistry)
4915 25TH AVE NE
SEATTLE, WA 98105
King County (206) 524-1600
GABRIELLE LYNN ANDERSON L.AC., EAMP
Acupuncturist
4915 25TH AVE NE, SUITE 104 WEST
SEATTLE, WA 98105
King County (206) 315-7998
DR. SARAH K POHLMANN MD
Internal Medicine
4915 25TH AVE NE, #301
SEATTLE, WA 98105
King County (206) 524-4737
DR. VARA V KRAFT M.D.
Internal Medicine
4915 25TH AVE NE, SUITE 301
SEATTLE, WA 98105
King County (206) 524-4737
DR. REBECCA ELIZABETH ESTERLY DDS
Dentist
4915 25TH AVE NE
SEATTLE, WA 98105
King County (206) 524-1600
DR. PETER SHAPIRO M.S.D., P.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
4915 25TH AVE NE, #203
SEATTLE, WA 98105
King County (206) 525-1999
SOUND PLASTIC SURGERY PLLC
Plastic Surgery
4915 25TH AVE NE
SEATTLE, WA 98105
King County (425) 776-0880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Elizondo's NPI number?

The NPI number for Ethan Elizondo is 1679288104. It was assigned to this individual provider in the NPPES registry on January 19, 2023.

Where is Ethan Elizondo located?

Ethan Elizondo practices at 4915 25th Ave NE, Seattle, WA 98105. The listed phone number is (206) 524-1600.

What is Ethan Elizondo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Elizondo was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.