Mountlake Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MOUNTLAKE FAMILY DENTISTRY

Practice address

22725 44TH Ave W Ste 100
Mountlake Terrace, WA 98043-4583

Phone

(425) 412-3955

NPI assigned

Apr 21, 2020

Organization subpart

No

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

Authorized official

Name

Alysha Maes

Title

Office Manager

Phone

(425) 412-3955

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Yong Luna, D.D.S.

  • Dentist
  • Mountlake Terrace, WA
  • NPI 1568516573

  General Practice

  NPD

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1164042040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22725 44TH AVE W STE 100",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434583",
            "telephone_number": "425-412-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22725 44TH AVE W STE 100",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434583",
            "telephone_number": "425-412-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTLAKE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "MAES",
        "authorized_official_first_name": "ALYSHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-412-3955"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Michelle Morgan
• Shelbey Rose Morgan
• Laura Jean Morley, L.M.P.
• Katelin Stevens Morse, MSW, LICSW
• Cara Ruth Motroni
• Mountlake Terrace Afh 1 LLC
• Mountlake Terrace Eye and Contact Lens Clinic
• MPS Clinical Services LLC
• Akruti Pratik Munshi, M.ED, BCBA
• Kevin Joseph Murphy, LCSW

• General Practice Dentistry in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.