Organization Active NPI

Facialbeauty.Com, PLLC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Bellevue, WA
National Provider Identifier
1205226099
Registry record updated Jan 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
Legal business name
FACIALBEAUTY.COM, PLLC
Practice address
11040 Main St
Suite 102
Bellevue, WA 98004-6363
Phone
(425) 227-4000
NPI assigned
Jan 31, 2015
Last updated
Jan 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2015

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

Authorized official

Name
Glynis Thakur
Title
Consultant
Phone
(425) 533-3307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0007X WA Primary

Addresses

Primary practice location

11040 Main St
Suite 102
Bellevue, WA 98004-6363

Mailing address

2620 Bellevue Way NE
#125
Bellevue, WA 98004-2209
Phone (425) 227-4000

National Provider Directory

National Provider Directory
Tax ID family
Facialbeautycompllc2 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.

Locations

11040 Main St
Ste 102
Bellevue, WA 98004
Phone (425) 227-4000

NPI Registry JSON

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422662400000",
    "number": "1205226099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 BELLEVUE WAY NE",
            "address_2": "#125",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042209",
            "telephone_number": "425-227-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 MAIN ST",
            "address_2": "SUITE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046363",
            "telephone_number": "425-227-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACIALBEAUTY.COM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-01-31",
        "status": "A",
        "authorized_official_last_name": "THAKUR",
        "authorized_official_first_name": "GLYNIS",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "425-533-3307"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; 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.