Individual provider Active NPI

Joanna Rose Forbes, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mill Creek, WA
National Provider Identifier
1154044832
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE61265362 Issued in WA
Practice address
13209 44TH Ave SE Ste 102
Mill Creek, WA 98012-8959
Phone
(425) 382-8000
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE61265362 WA Primary

Addresses

Primary practice location

13209 44TH Ave SE Ste 102
Mill Creek, WA 98012-8959

Mailing address

15300 112TH Ave NE Unit A101
Bothell, WA 98011-4171
Phone (425) 215-3938

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joanna@stellarortho.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818002014 WA Order and Referring Only - DentistPractitioner - Dentist 2961901814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE61265362WAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1154044832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 112TH AVE NE UNIT A101",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980114171",
            "telephone_number": "425-215-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13209 44TH AVE SE STE 102",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980128959",
            "telephone_number": "425-382-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "JOANNA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE61265362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joanna@stellarortho.com",
            "affiliation": "N",
            "address_1": "13209 44th Ave SE Ste 102",
            "city": "Mill Creek",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980128959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

Verify at the official NPI Registry.