Bothell Denture Clinic, Inc.

Primary specialty

DenturistTaxonomy code 122400000X

License

DN000258 Issued in WA

Legal business name

BOTHELL DENTURE CLINIC, INC.

Practice address

10137 Main St
Suite 7
Bothell, WA 98011-3422

Phone

(425) 483-4643

Fax

(425) 483-1493

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Satomi Hirai, LDNPI 1053412098

Title

Licensed Denturist

Phone

(425) 483-4643

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Satomi Hirai, D.P.D.

  • Denturist
  • Bothell, WA
  • NPI 1053412098
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245320316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10137 MAIN ST",
            "address_2": "SUITE 7",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113422",
            "telephone_number": "425-483-4643",
            "fax_number": "425-483-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10137 MAIN ST",
            "address_2": "SUITE 7",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113422",
            "telephone_number": "425-483-4643",
            "fax_number": "425-483-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTHELL DENTURE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIRAI",
        "authorized_official_first_name": "SATOMI",
        "authorized_official_title_or_position": "LICENSED DENTURIST",
        "authorized_official_telephone_number": "425-483-4643",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LD"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN000258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5036835",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norman D Bolosan, DDS
• Judith A. Bond, P.A.
• Bonney Lake Psychiatry LLC
• Bothell Chiropractic & Wellness, PLLC
• Bothell Dental Care
• Bothell Endodontics
• Bothell Foot & Ankle Clinic PLLC
• Bothell Integrated Health, Inc.
• Bothell Naturopathic Medical Clinic
• Bothell Pediatric & Hand Therapy

• Denturist in Bothell, WA
• Providers in Bothell, WA by specialty
• Denturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.