NPIMap

Organization Active NPI

Loree Bolin, DDS, LLC

  • Dental Clinic/Center
  • Edmonds, WA
National Provider Identifier
1124428354
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6061 Issued in WA
Legal business name
LOREE BOLIN, DDS, LLC
Practice address
18404 Olympic View Dr
Edmonds, WA 98020-2348
Phone
(425) 218-2887
NPI assigned
Aug 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Dr. Loree Bolin, DDS
Title
Owner
Phone
(425) 218-2887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6061 WA Primary

Addresses

Primary practice location

18404 Olympic View Dr
Edmonds, WA 98020-2348

Mailing address

18404 Olympic View Dr
Edmonds, WA 98020-2348
Phone (425) 218-2887

National Provider Directory

National Provider Directory
Tax ID family
Loree Bolin DDS LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1124428354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18404 OLYMPIC VIEW DR",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980202348",
            "telephone_number": "425-218-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18404 OLYMPIC VIEW DR",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980202348",
            "telephone_number": "425-218-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOREE BOLIN, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "BOLIN",
        "authorized_official_first_name": "LOREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-218-2887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "6061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.