Active NPI
Koutsoumbas & Lintakoon DDS PLLC
- Dental Clinic/Center
- Seattle, WA
National Provider Identifier
1174975338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DE60229140
- Legal business name
- KOUTSOUMBAS & LINTAKOON DDS PLLC
- Practice address
- 4055 21St Ave W Ste 101
Seattle, WA 98199-1247 - Phone
- (206) 285-1338
- NPI assigned
- Jul 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Hung Lintakoon, DDS
- Title
- Member
- Phone
- (512) 680-5571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DE60229140 | WA | Primary |
Addresses
Primary practice location
4055 21St Ave W Ste 101
Seattle, WA 98199-1247
Mailing address
4055 21St Ave W Ste 101
Seattle, WA 98199-1247
Phone (206) 285-1338
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Lacey, WA
- NPI 1033233549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468281600000",
"number": "1174975338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 21ST AVE W STE 101",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981991247",
"telephone_number": "206-285-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 21ST AVE W STE 101",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981991247",
"telephone_number": "206-285-1338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOUTSOUMBAS & LINTAKOON DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-12",
"last_updated": "2016-07-12",
"status": "A",
"authorized_official_last_name": "LINTAKOON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "HUNG",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "512-680-5571",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "WA",
"license": "DE60229140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.