Bothell Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

BOTHELL ENDODONTICS

Practice address

19110 Bothell Way NE Ste 101
Bothell, WA 98011-2970

Phone

(425) 482-9211

NPI assigned

Oct 4, 2024

Organization subpart

No

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

Authorized official

Name

Michelle Soriano, DDSNPI 1558810663

Title

President

Phone

(425) 482-9211

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Soriano, DDS, MSD

  • Endodontics
  • Bothell, WA
  • NPI 1558810663
  NPD Authorized official
• Courtney Lang, DDS

  • Dentist
  • Bothell, WA
  • NPI 1104655398
  NPD
• Andrew D. Romero, DDS PS

  • Endodontics
  • Bothell, WA
  • NPI 1043386543
  NPD (past)

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1083433296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19110 BOTHELL WAY NE STE 101",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980112970",
            "telephone_number": "425-482-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19110 BOTHELL WAY NE STE 101",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980112970",
            "telephone_number": "425-482-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTHELL ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-482-9211",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith A. Bond, P.A.
• Bonney Lake Psychiatry LLC
• Bothell Chiropractic & Wellness, PLLC
• Bothell Dental Care
• Bothell Denture Clinic, Inc.
• Bothell Foot & Ankle Clinic PLLC
• Bothell Integrated Health, Inc.
• Bothell Naturopathic Medical Clinic
• Bothell Pediatric & Hand Therapy
• Bothell Pediatric and Hand Therapy

• Endodontics in Bothell, WA
• Providers in Bothell, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.