Megan Jillian Lao

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61363763 Issued in WA

Practice address

11120 Evergreen Way
Everett, WA 98204-3888

Phone

(425) 265-1188

NPI assigned

Nov 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Young B Park, DDS, PS

  • General Practice Dentistry
  • Everett, WA
  • NPI 1487979092
  NPD (past)

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1114520715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 EVERGREEN WAY STE G",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982043888",
            "telephone_number": "425-265-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982043888",
            "telephone_number": "425-265-1188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5425 S Padre Island Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784115301",
            "country_code": "US",
            "telephone_number": "360-980-3931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAO",
        "first_name": "MEGAN JILLIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36706",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61363763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Lanier, R.N., M.N.
• Amy Lankenau
• Christopher Lanphear
• Aloria Louise Lanshaw, RDN, CD
• Elizabeth Lantry, DNP
• Leslie Denise Laplante, PHARMD
• Karen R Lara, DPT, PT
• Laura Marie Larkin
• Kyle Palmer Larsen
• Meredith C Larsen, MD

• General Practice Dentistry in Everett, WA
• Providers in Everett, 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 Aug 20, 2025; 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.