Eastside Dermatology Inc Ps
NPI 1649379231 · Pediatric Dermatology Physician · Bellevue, WA
Eastside Dermatology Inc Ps is a Pediatric Dermatology Physician organization in Bellevue, WA (NPI 1649379231).
Provider details
- NPI number
- 1649379231
- Entity type
- Organization
- Primary specialty
- Pediatric Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melanie Jennings, Office Manager(425) 454-1104
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2025-09-11
Frequently asked questions
- What is Eastside Dermatology Inc Ps's NPI number?
- Eastside Dermatology Inc Ps's National Provider Identifier (NPI) is 1649379231, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastside Dermatology Inc Ps?
- Eastside Dermatology Inc Ps is classified in the NPPES registry as Pediatric Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Eastside Dermatology Inc Ps located?
- Eastside Dermatology Inc Ps's practice location on file with NPPES is 14030 Ne 24th St, Bellevue, WA 98007-3724.
- What is Eastside Dermatology Inc Ps's phone number?
- The practice phone number listed in the NPPES registry for Eastside Dermatology Inc Ps is (425) 454-1104.
- Who is the authorized official for Eastside Dermatology Inc Ps?
- The authorized official listed on Eastside Dermatology Inc Ps's NPPES record is Melanie Jennings, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastside Dermatology Inc Ps's NPI active?
- Yes — Eastside Dermatology Inc Ps's NPI (1649379231) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.