Individual provider Active NPI

Karen Lovato, DDS

  • Endodontics
  • Mill Creek, WA
National Provider Identifier
1003848938
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DE60220469 Issued in WA
Practice address
15421 Main St Ste 101
Mill Creek, WA 98012-9002
Phone
(425) 316-8095
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DE60220469 WA Primary
General Practice Dentistry 1223G0001X DD2756 NM

Addresses

Primary practice location

15421 Main St Ste 101
Mill Creek, WA 98012-9002

Mailing address

15421 Main St Ste 101
Mill Creek, WA 98012-9002
Phone (425) 316-8095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170509000416 NM Order and Referring Only - DentistPractitioner - Dentist 9032410154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60220469WAMDEndodontist
DD2756NMMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1003848938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15421 MAIN ST STE 101",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980129002",
            "telephone_number": "425-316-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15421 MAIN ST STE 101",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980129002",
            "telephone_number": "425-316-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVATO",
        "first_name": "KAREN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60220469",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD2756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

Verify at the official NPI Registry.