J. Lothyan, D.D.S., P.L.L.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

J. LOTHYAN, D.D.S., P.L.L.C.

Practice address

722 12TH St SE
Auburn, WA 98002-6708

Phone

(253) 833-5137

Fax

(253) 939-6024

NPI assigned

Oct 26, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Jessica A Bartlett

Title

Insurance Billing

Phone

(425) 255-5532

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Kent Darrell Nuttall, DMD

  • General Practice Dentistry
  • Auburn, WA
  • NPI 1063596864
  NPD (past)
• Jared Emerson Roberts, DDS

  • Pediatric Dentistry
  • Silverdale, WA
  • NPI 1972033496
  NPD (past)

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1144556127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 12TH ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980026708",
            "telephone_number": "253-833-5137",
            "fax_number": "253-939-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 12TH ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980026708",
            "telephone_number": "253-833-5137",
            "fax_number": "253-939-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. LOTHYAN, D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INSURANCE BILLING",
        "authorized_official_telephone_number": "425-255-5532",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DENTAL LICENSE",
            "identifier": "10882",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Irby
• Zachary Irelan, PA-C
• Svetlana Ivanova
• Linda Lee Iverson
• J & B LLC (BS Massage)
• Amy Jack, CPS
• Shawnna Jackson, RN
• Sondra Anne Jackson, NC60519844
• Elizabeth Headley Jacobsen, D.D.S
• Morgan Danielle Jaffray, RN

• Pediatric Dentistry in Auburn, WA
• Providers in Auburn, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.