Organization Active NPI

Care Dental

  • Dental Clinic/Center
  • Everett, WA
National Provider Identifier
1093028706
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00010385 Issued in WA
Legal business name
CARE DENTAL
Practice address
621 128TH St SW
Everett, WA 98204-6319
Phone
(425) 347-7722
Fax
(425) 347-7723
NPI assigned
Jul 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Authorized official

Name
Dr. Sung-a Elizabeth Ro-Lee, DMDNPI 1558436014
Title
Owner
Phone
(425) 347-7722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE00010385 WA Primary

Addresses

Primary practice location

621 128TH St SW
Everett, WA 98204-6319

Mailing address

621 128TH St SW
Everett, WA 98204-6319
Phone (425) 347-7722

Other identifiers 1

IdentifierTypeStateIssuer
5051198MedicaidWA

National Provider Directory

National Provider Directory

Locations

621 128th St SW
Everett, WA 98204
Phone (206) 914-7599

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1093028706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 128TH ST SW",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046319",
            "telephone_number": "425-347-7722",
            "fax_number": "425-347-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 128TH ST SW",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046319",
            "telephone_number": "425-347-7722",
            "fax_number": "425-347-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "RO-LEE",
        "authorized_official_first_name": "SUNG-A",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-347-7722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00010385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5051198",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.