Organization Active NPI

House, Lee, Mast, McDonald and Nelson, PC

Doing business as Advanced Pediatric Dentistry and Orthodontics of Pasco

  • Pediatric Dentistry
  • Pasco, WA
National Provider Identifier
1033347950
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE60203055 Issued in WA
Legal business name
HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
Doing business as
Advanced Pediatric Dentistry and Orthodontics of Pasco
Practice address
9720 Sandifur Pkwy
Pasco, WA 99301-9068
Phone
(509) 543-4948
Fax
(509) 543-6940
NPI assigned
Jun 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Lanette McIntosh
Title
Director of Operations
Phone
(425) 233-0971

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DE60203055 WA
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X DE60203055 WA Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X DE60203055 WA

Addresses

Primary practice location

9720 Sandifur Pkwy
Pasco, WA 99301-9068

Mailing address

9720 Sandifur Pkwy
Pasco, WA 99301-9068
Phone (509) 543-4948

Other names 1

  • Advanced Pediatric Dentistry and Orthodontics of Pasco Doing business as

National Provider Directory

National Provider Directory

Locations

7425 Wrigley Dr
Ste 201
Pasco, WA 99301
Phone (509) 516-0998

9720 Sandifur Pkwy
Pasco, WA 99301
Phone (509) 543-4948

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1033347950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 SANDIFUR PKWY",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019068",
            "telephone_number": "509-543-4948",
            "fax_number": "509-543-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 SANDIFUR PKWY",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019068",
            "telephone_number": "509-543-4948",
            "fax_number": "509-543-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE, LEE, MAST, MCDONALD AND NELSON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "LANETTE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "425-233-0971"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60203055",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60203055",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE60203055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pediatric Dentistry and Orthodontics of Pasco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.