Robert Louis Eilert, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4074 Issued in WA

Practice address

19715 Scriber Lake Rd Ste C
Lynnwood, WA 98036-6165

Phone

(425) 774-7781

Fax

(425) 775-8319

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

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

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.

• Theodore M Hennessey DDS PS

  • General Practice Dentistry
  • Lynnwood, WA
  • NPI 1255694147
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053463802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19715 SCRIBER LAKE RD STE C",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366165",
            "telephone_number": "425-774-7781",
            "fax_number": "425-775-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19715 SCRIBER LAKE RD STE C",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366165",
            "telephone_number": "425-774-7781",
            "fax_number": "425-775-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EILERT",
        "first_name": "ROBERT",
        "middle_name": "LOUIS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Edwards
• Brian Patrick Edwards
• Nancy E Edwards, OT
• Rebecca Ellen Edwards, LMP
• Hannah Eggas
• John M. Eilertsen IV, M.S., L.M.H.C.
• Corinne Callihan Eischen
• Ekapoj Thongin, DMD, PLLC
• Steven A Ekkelkamp, MA, MABS, LMHCA
• Chinyere J Ekwueme, LMHCA

• General Practice Dentistry in Lynnwood, WA
• Providers in Lynnwood, 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 8, 2007; 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.