House, Lee, Mast, McDonald and Nelson, PC

Primary specialty

DentistTaxonomy code 122300000X

License

DE00009943 Issued in WA

Legal business name

HOUSE, LEE, MAST, MCDONALD AND NELSON, PC

Doing business as

Snoqualmie Valley Kids Dentist

Practice address

34929 SE Ridge St
Suite 220
Snoqualmie, WA 98065-6306

Phone

(425) 396-1011

Fax

(425) 396-1258

NPI assigned

Dec 15, 2008

Last updated

Dec 30, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

HOUSE, LEE, MAST, MCDONALD AND NELSON, PCAs reported in NPPES

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

Authorized official

Name

Lanette McIntosh, AO

Title

Regional Operations Manager

Phone

(425) 396-1011

Specialties & licenses 1

Addresses

Other names 1

• Snoqualmie Valley Kids Dentist Doing business as

Part of

House Lee Mast McDonald and Nelson PC

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1144465428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34929 SE RIDGE ST",
            "address_2": "SUITE 220",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980656306",
            "telephone_number": "425-396-1011",
            "fax_number": "425-396-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34929 SE RIDGE ST",
            "address_2": "SUITE 220",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980656306",
            "telephone_number": "425-396-1011",
            "fax_number": "425-396-1258"
        }
    ],
    "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": "2008-12-15",
        "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",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00009943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snoqualmie Valley Kids Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Rachel Hitchcock, SLP
• David Hodel
• Patricia Soderlund Holladay, OTR
• Thomas P Holt, LMP
• Megan Thomas Horita
• Timothy Jon Huber, P.T.
• Sheila M Hunter, MA, LMHC
• Integrated Rehabilitation Group, PC (IRG Physical & Hand Therapy - Snoqualmie Ridge)
• Susan Lynn Jacobs-Brewer
• Neeta Jain, M.D.

• Dentist in Snoqualmie, WA
• Providers in Snoqualmie, WA by specialty
• Dentist in Washington

• 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.