Individual provider Active NPI

Olivia Helen Schwarz

  • General Practice Dentistry
  • Lynnwood, WA
National Provider Identifier
1225616014
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61290158 Issued in WA
Practice address
16108 Ash Way Ste 202
Lynnwood, WA 98087-8781
Phone
(425) 741-2030
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61290158 WA Primary

Addresses

Primary practice location

16108 Ash Way Ste 202
Lynnwood, WA 98087-8781

Mailing address

1145 Republican St Apt 913
Seattle, WA 98109-5966
Phone (208) 830-8541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61290158WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dong Wu Han PLLC General Practice CurrentSince Aug 4, 2024 Accepting new patients
Dr. Shur Dental General Practice PastSince Apr 6, 2023 Accepting new patients

Locations

16108 Ash Way
Ste 202
Lynnwood, WA 98087
Phone (425) 741-2030

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1225616014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 REPUBLICAN ST APT 913",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095966",
            "telephone_number": "208-830-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16108 ASH WAY STE 202",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980878781",
            "telephone_number": "425-741-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARZ",
        "first_name": "OLIVIA",
        "middle_name": "HELEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2023-03-30",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "61290158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.