Individual provider Active NPI

Linda Mae Cirtaut, D.D.S., P.S.

  • General Practice Dentistry
  • Mill Creek, WA
National Provider Identifier
1245309855
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5233 Issued in WA
Practice address
1025 153Rd St SE
Suite #103
Mill Creek, WA 98012-4051
Phone
(425) 745-2703
Fax
(425) 316-0485
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5233 WA Primary

Addresses

Primary practice location

1025 153Rd St SE
Suite #103
Mill Creek, WA 98012-4051

Mailing address

PO Box 13828
Mill Creek, WA 98082-1828
Phone (425) 745-2703

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
5233WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Linda M Cirtaut DDS PS Past Accepting new patients
Natasha Habib DDS PS PastSince Oct 19, 2020 Accepting new patients

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245309855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13828",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980821828",
            "telephone_number": "425-745-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 153RD ST SE",
            "address_2": "SUITE #103",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980124051",
            "telephone_number": "425-745-2703",
            "fax_number": "425-316-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRTAUT",
        "first_name": "LINDA",
        "middle_name": "MAE",
        "credential": "D.D.S., P.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.