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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE60203055
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60203055 | WA | |
| Pediatric Dentistry | 1223P0221X | DE60203055 | WA | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Woodway, TX
- NPI 1639915804
-
- Dentist
- Newberg, OR
- NPI 1851481238
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.