Organization Active NPI

Shuwen Lisa Lu, DDS, PLLC

  • General Practice Dentistry
  • Arlington, WA
National Provider Identifier
1124317201
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00010683 Issued in WA
Legal business name
SHUWEN LISA LU, DDS, PLLC
Practice address
3325 Smokey Point Dr
Suite 204
Arlington, WA 98223-7803
Phone
(360) 618-0176
Fax
(206) 577-3860
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Dr. Shuwen Lu, DDS
Title
Dentist
Phone
(360) 618-0176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00010683 WA Primary

Addresses

Primary practice location

3325 Smokey Point Dr
Suite 204
Arlington, WA 98223-7803

Mailing address

26239 104TH Ave SE
Kent, WA 98030-7672
Phone (360) 618-0176

Other names 1

  • ARLINGTON DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1124317201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26239 104TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307672",
            "telephone_number": "360-618-0176",
            "fax_number": "206-577-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 SMOKEY POINT DR",
            "address_2": "SUITE 204",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982237803",
            "telephone_number": "360-618-0176",
            "fax_number": "206-577-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUWEN LISA LU, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "SHUWEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-618-0176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARLINGTON DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.