NPIMap

Organization Active NPI

House, Lee, Mast, McDonald and Nelson, PC

  • Dental Clinic/Center
  • Seattle, WA
National Provider Identifier
1023461597
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00010515 Issued in WA
Legal business name
HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
Practice address
4116 California Ave SW Apt 102
Seattle, WA 98116-4151
Phone
(206) 937-6089
Fax
(206) 937-6371
NPI assigned
Jul 19, 2016
Organization subpart
Yes
Parent organization
HOUSE, LEE, MAST, MCDONALD AND NELSON, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Lanette McIntosh
Title
Regional Operations Manager
Phone
(425) 396-1011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE00010515 WA Primary

Addresses

Primary practice location

4116 California Ave SW Apt 102
Seattle, WA 98116-4151

Mailing address

4116 California Ave SW Apt 102
Seattle, WA 98116-4151
Phone (206) 937-6089

Other names 2

  • Sorensen Orthodontics Doing business as
  • Jack Hou and Kortne Frederick Hou PC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
House Lee Mast McDonald and Nelson PC6 organizations share this tax ID, including this one
Part of
House Lee Mast McDonald and Nelson PC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1023461597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 CALIFORNIA AVE SW APT 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164151",
            "telephone_number": "206-937-6089",
            "fax_number": "206-937-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 CALIFORNIA AVE SW APT 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164151",
            "telephone_number": "206-937-6089",
            "fax_number": "206-937-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE, LEE, MAST, MCDONALD AND NELSON, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSE, LEE, MAST, MCDONALD AND NELSON, PC",
        "enumeration_date": "2016-07-19",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "LANETTE",
        "authorized_official_title_or_position": "REGIONAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "425-396-1011"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00010515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sorensen Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sorensen Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jack Hou and Kortne Frederick Hou PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.