Clint T. Worton, DDS, PS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE 8714 Issued in WA

Legal business name

CLINT T. WORTON, DDS, PS

Practice address

620 Kirkland Way
Suite 102
Kirkland, WA 98033-6021

Phone

(425) 822-2500

Fax

(425) 822-2599

NPI assigned

Nov 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Clint Worton, DDS

Title

President

Phone

(425) 822-2500

Specialties & licenses 1

Addresses

Other names 1

• Kirkland Children's Dentistry Doing business as

Locations

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1245485333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 KIRKLAND WAY",
            "address_2": "SUITE 102",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336021",
            "telephone_number": "425-822-2500",
            "fax_number": "425-822-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 KIRKLAND WAY",
            "address_2": "SUITE 102",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336021",
            "telephone_number": "425-822-2500",
            "fax_number": "425-822-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINT T. WORTON, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "WORTON",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-822-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE 8714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirkland Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon James Clem
• Nathalie Clement, RN
• Andrea Marie Clements, O.D.
• Karen Michelle Clements, D.D.S., M.S.D
• Kelly Andrew Clinch, MD
• Camille Melinda Clinton, MD
• Ireland Clouse
• Clubstaffing
• Janet Cluff, L.M.P., N.C.T.M.B.
• Suz Gabrielle Coan, PSYD

• Dental Clinic/Center in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.