NPIMap

Organization Active NPI

Lund Orthodontics, P.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lake Stevens, WA
National Provider Identifier
1083167654
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
9548 Issued in WA
Legal business name
LUND ORTHODONTICS, P.S.
Practice address
22 95TH Dr NE
Lake Stevens, WA 98258-7975
Phone
(425) 335-5700
NPI assigned
Jul 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Lund, DDS
Title
Owner
Phone
(425) 335-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 9548 WA Primary

Addresses

Primary practice location

22 95TH Dr NE
Lake Stevens, WA 98258-7975

Mailing address

22 95TH Dr NE
Lake Stevens, WA 98258-7975
Phone (425) 335-5700

National Provider Directory

National Provider Directory
Tax ID family
Lund Orthodontics PS3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1083167654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 95TH DR NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587975",
            "telephone_number": "425-335-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 95TH DR NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587975",
            "telephone_number": "425-335-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUND ORTHODONTICS, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-335-5700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "9548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.