Organization Active NPI

Koutsoumbas & Lintakoon DDS PLLC

  • Dental Clinic/Center
  • Seattle, WA
National Provider Identifier
1174975338
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60229140 Issued in WA
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

Updated by the provider on Jul 12, 2016

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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.