Ara G Carmody, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60239576 Issued in WA

Practice address

18807 Beardslee Blvd Ste 105
Bothell, WA 98011

Phone

(425) 488-6120

NPI assigned

Nov 16, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1013284207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18807 BEARDSLEE BLVD STE 105",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111712",
            "telephone_number": "425-488-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18807 BEARDSLEE BLVD STE 105",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98011",
            "telephone_number": "425-488-6120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8933 Market Pl Ste A",
            "address_purpose": "LOCATION",
            "city": "Lake Stevens",
            "state": "WA",
            "postal_code": "982584909",
            "country_code": "US",
            "telephone_number": "425-334-5085",
            "fax_number": "425-335-0921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMODY",
        "first_name": "ARA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60239576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caremark, L.L.C.
• Susan M. Carey, PHD
• Naphtali Carlson, LMHC
• Victoria Lynn Carlson, RN
• Brian Lynn Carlton, ED.D.
• Casey E Carmody, DDS
• Allison Danielle Carnahan, LMP
• Lea Carollo, MS. CCC-SLP
• Jaclyn Anne Carpenter
• Edina Wede Carr, ARNP

• General Practice Dentistry in Bothell, WA
• Providers in Bothell, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.