Lahai Health

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

LAHAI HEALTH

Practice address

19820 Scriber Lake Rd Ste 2
Lynnwood, WA 98036-6121

Phone

(206) 363-4105

NPI assigned

Aug 9, 2016

Last updated

Aug 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry Rafferty

Title

Director of Finance

Phone

(206) 363-4105

Specialties & licenses 1

Addresses

Other names 1

• Puget Sound Christian Clinic Former legal business name

Tax ID family

Lahai Health2 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.

• Lahai Health

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1568860849
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peanut Wai-Ping Wong Hattaway, DMD

  • Dentist
  • Redmond, WA
  • NPI 1245595669
  NPD (past)
• Holly Graf, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1659973949
  NPD (past)

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1235683194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19820 SCRIBER LAKE RD STE 2",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366121",
            "telephone_number": "206-363-4105",
            "fax_number": "206-823-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19820 SCRIBER LAKE RD STE 2",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366121",
            "telephone_number": "206-363-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAHAI HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "RAFFERTY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "206-363-4105"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puget Sound Christian Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lillian Labourr, OTR/L
• Heather Patricia Labouy, PSYD
• Marisa Lynn Lacasse, LMP
• Laura Lackey
• Lafond Counseling PLLC
• Tina Lenora Laird, LPN
• Kiley Lakins
• Nam Justin Lam, DMD
• Jaycob Allen Lamb
• Jennyffer S Landaverde Rivas, MSW, LSWAIC

• Public Health Dentistry in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Public Health Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.