Lilly Road Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009067 Issued in WA

Legal business name

LILLY ROAD FAMILY DENTISTRY

Practice address

220 Lilly Rd NE Ste B
Olympia, WA 98506-6101

Phone

(360) 459-9694

NPI assigned

Apr 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Richard C Downing, DDS

Title

Dentist/Owner

Phone

(360) 259-1984

Specialties & licenses 1

Addresses

Tax ID family

Chehalis Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• R.C. Downing DDS PS

  • Dentist
  • Chehalis, WA
  • NPI 1700241734
  NPD tax ID

Practitioners 1

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

• Sherilyn Victoria Malloy, DDS

  • Dentist
  • Olympia, WA
  • NPI 1063575033
  NPD (past)

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1205193786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LILLY RD NE STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985066101",
            "telephone_number": "360-459-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LILLY RD NE STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985066101",
            "telephone_number": "360-459-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLY ROAD FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "DOWNING",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "360-259-1984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Therapeutic Works LLC
• Tamara Light, SUDP
• Kimberlie Lilley Aggerrson
• Lillie McCatty, LMHC
• Lilly Denture Center, Inc
• Jennah Rae Lilly
• Kenneth Paul Lim, D.D.S.
• Evan John Lima, PHD
• Lincare Inc.
• Bruce Lincoln, MD

• General Practice Dentistry in Olympia, WA
• Providers in Olympia, 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 20, 2012; 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.