Active NPI
Maurine Machugh, DDS, PLLC
- Periodontics
- Kirkland, WA
National Provider Identifier
1033440201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DE00005017
- Practice address
- 12911 120TH Ave. NE
Suite F240
Kirkland, WA 98034-3027 - Phone
- (425) 820-2414
- NPI assigned
- Jan 27, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DE00005017 | WA | Primary |
Addresses
Primary practice location
12911 120TH Ave. NE
Suite F240
Kirkland, WA 98034-3027
Mailing address
12911 120TH Ave NE
Suite F240
Kirkland, WA 98034-3027
Phone (425) 820-2414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00005017 | WA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1033440201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE",
"address_2": "SUITE F240",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343027",
"telephone_number": "425-820-2414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12911 120TH AVE. NE",
"address_2": "SUITE F240",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343027",
"telephone_number": "425-820-2414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHUGH",
"first_name": "MAURINE",
"credential": "DDS, PLLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-27",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "WA",
"license": "DE00005017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.