Traci Guan

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

2027 196TH St SW Ste R1
Lynnwood, WA 98036-7073

Phone

(425) 697-3907

NPI assigned

Jul 28, 2019

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

Practice roles

Locations

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

• Taylor Berry DDS PLLC

  • Public Health Dentistry
  • Lynnwood, WA
  • NPI 1851270433
  NPD
• Concept Denture Clinic LLC

  • General Practice Dentistry
  • Lynnwood, WA
  • NPI 1265519516
  NPD (past)

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564272000000",
    "number": "1043864127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 164TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980878609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 196TH ST SW STE R1",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367073",
            "telephone_number": "425-697-3907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2027 196th St SW Ste R1",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980367073",
            "country_code": "US",
            "telephone_number": "425-697-3907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUAN",
        "first_name": "TRACI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2019-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Warren Groves
• Kathryn Linn Grubbs
• Elizabeth I Gruber
• Leah E Grupp-Williams
• Catherine A Gua, MA, LMFTA
• Yu Qing Guan
• Jennie L Guiley, LMP
• Sandy Guirges
• Kavita Gulati, MD
• Courtney Gullickson, RN

• Dental Assistant in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Dental Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.