Susan Willis, DDS
NPI 1104996131 · General Practice Dentistry · Seattle, WA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susan Willis, DDS is a General Practice Dentistry provider in Seattle, WA (NPI 1104996131).
Provider details
- NPI number
- 1104996131
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- DE00009739 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
19 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$62 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2016-01-22
Frequently asked questions
- What is Susan Willis's NPI number?
- Susan Willis's National Provider Identifier (NPI) is 1104996131, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Willis's specialty?
- Susan Willis is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Susan Willis located?
- Susan Willis's practice location on file with NPPES is 1629 N 45th St, Seattle, WA 98103-6701.
- What is Susan Willis's phone number?
- The practice phone number listed in the NPPES registry for Susan Willis is (206) 633-3350.
- Does Susan Willis accept Medicare?
- Susan Willis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susan Willis's NPI active?
- Yes — Susan Willis's NPI (1104996131) is active in the NPPES registry as of the last update on 2016-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.