NPIMap

Organization Active NPI

House, Lee, Mast, McDonald and Nelson, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sammamish, WA
National Provider Identifier
1114539301
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
Practice address
22603 NE Inglewood Hill Rd Ste 200
Sammamish, WA 98074-7105
Phone
(425) 868-6880
NPI assigned
Aug 19, 2020
Organization subpart
Yes
Parent organization
HOUSE, LEE, MAST, MCDONALD AND NELSON, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Lanette McIntosh
Title
Regional Operations Manager
Phone
(425) 396-1011

Specialties & licenses 1

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

Addresses

Primary practice location

22603 NE Inglewood Hill Rd Ste 200
Sammamish, WA 98074-7105

Mailing address

22603 NE Inglewood Hill Rd # 200
Sammamish, WA 98074-7105
Phone (425) 868-6880

Other names 2

  • Orthodontics on the Plateau Doing business as
  • Jack Hou and Kortne Frederick Hou, PC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
House Lee Mast McDonald and Nelson PC6 organizations share this tax ID, including this one
Part of
House Lee Mast McDonald and Nelson PC

Other organizations with this tax ID 5

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

Locations

22603 NE Inglewood Hill Rd
#200
Sammamish, WA 98074
Phone (425) 868-6880

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1114539301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22603 NE INGLEWOOD HILL RD # 200",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747105",
            "telephone_number": "425-868-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22603 NE INGLEWOOD HILL RD STE 200",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747105",
            "telephone_number": "425-868-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE, LEE, MAST, MCDONALD AND NELSON, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSE, LEE, MAST, MCDONALD AND NELSON, PC",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "LANETTE",
        "authorized_official_title_or_position": "REGIONAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "425-396-1011"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontics on the Plateau",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jack Hou and Kortne Frederick Hou, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.