NPIMap

Organization Active NPI

Paul Lund DDS PLLC

  • Pediatric Dentistry
  • Lake Stevens, WA
National Provider Identifier
1255735734
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE60291991 Issued in WA
Legal business name
PAUL LUND DDS PLLC
Practice address
22 95TH Dr NE
Lake Stevens, WA 98258-7975
Phone
(425) 512-9887
NPI assigned
Oct 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Dr. Paul Lund, DDS
Title
Owner
Phone
(425) 512-9887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DE60291991 WA Primary

Addresses

Primary practice location

22 95TH Dr NE
Lake Stevens, WA 98258-7975

Mailing address

22 95TH Dr NE
Lake Stevens, WA 98258-7975
Phone (425) 512-9887

Other names 1

  • Milestone Kids Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

22 95th Dr NE
Lake Stevens, WA 98258
Phone (425) 335-5700

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1255735734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 95TH DR NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587975",
            "telephone_number": "425-512-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 95TH DR NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587975",
            "telephone_number": "425-512-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL LUND DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-512-9887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60291991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milestone Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.