Active NPI
Care Dental
- Dental Clinic/Center
- Everett, WA
National Provider Identifier
1093028706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DE00010385
- 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
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, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5051198 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Everett, WA
- NPI 1558436014
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.