Active NPI
Amy Moslander-Thompson, DDS, PLLC
Doing business as New Life Dental Arts
- General Practice Dentistry
- Lake Stevens, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE0010000
- Legal business name
- AMY MOSLANDER-THOMPSON, DDS, PLLC
- Doing business as
- New Life Dental Arts
- Practice address
- 9633 Market PL
Suite 202
Lake Stevens, WA 98258-7944 - Phone
- (425) 397-8888
- NPI assigned
- Feb 14, 2011
- Last updated
- Feb 14, 2011
- 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. Amy H. Moslander-Thompson, DDS
- Title
- Owner
- Phone
- (425) 397-8888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE0010000 | WA | Primary |
Addresses
Primary practice location
9633 Market PL
Suite 202
Lake Stevens, WA 98258-7944
Mailing address
9633 Market PL
Suite 202
Lake Stevens, WA 98258-7944
Phone (425) 397-8888
Other names 1
- New Life Dental Arts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110818000763 | WA | DME Supplier - Oral Surgery - Dentist | 9032390984 | Practice locations: Lake Stevens, WA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Lake Stevens, WA
- NPI 1649345844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297641600000",
"number": "1124325956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9633 MARKET PL",
"address_2": "SUITE 202",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982587944",
"telephone_number": "425-397-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9633 MARKET PL",
"address_2": "SUITE 202",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982587944",
"telephone_number": "425-397-8888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMY MOSLANDER-THOMPSON, DDS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-14",
"last_updated": "2011-02-14",
"status": "A",
"authorized_official_last_name": "MOSLANDER-THOMPSON",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-397-8888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE0010000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Life Dental Arts",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Stevens, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.