Isabel Lo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60954101 Issued in WA

Practice address

17420 Southcenter Pkwy
Tukwila, WA 98188-3701

Phone

(253) 395-5555

NPI assigned

Jul 11, 2019

Last updated

Jul 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Interoperability endpoints

• Direct secure messaging: ilo487114@direct.multicare.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Washington Dental Corporation PC

  dba Southcenter Modern Dentistry

  • General Practice Dentistry
  • Tukwila, WA
  • NPI 1205249810
  NPD (past)

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1033761911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N 10TH PL APT 2534",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17420 SOUTHCENTER PKWY",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883701",
            "telephone_number": "253-395-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60954101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael E Liquori, M.D.
• Christina A Little, LMFT
• Grace Audrey Little
• Karen Elizabeth Lizzy, LMHCA, CDP
• Alec Sodapop Llamas
• Keith Kimman Lo, RPH
• Slwan A Logman
• Kevin Brandon Long, M.D.
• Morgan Elyse Long
• Thomas Howard Long, MD

• General Practice Dentistry in Tukwila, WA
• Providers in Tukwila, 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 Jul 11, 2019; 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.