Lindquist Dental Clinic for Children

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE00004723 Issued in WA

Legal business name

LINDQUIST DENTAL CLINIC FOR CHILDREN

Practice address

130 131St St S
Tacoma, WA 98444-4804

Phone

(253) 539-7445

Fax

(253) 539-7538

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sherwin R. Shinn, DDS

Title

Dental Director

Phone

(253) 539-7445

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carl E. Lindquist School Clinic Former legal business name

Tax ID family

Carl E Lindquist School Clinic2 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.

• Lindquist Dental Clinic for Children

  • Dental Clinic/Center
  • Tacoma, WA
  • NPI 1962953521
  NPD tax ID

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1265573448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 131ST ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444804",
            "telephone_number": "253-539-7445",
            "fax_number": "253-539-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 131ST ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444804",
            "telephone_number": "253-539-7445",
            "fax_number": "253-539-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDQUIST DENTAL CLINIC FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "SHINN",
        "authorized_official_first_name": "SHERWIN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "253-539-7445",
        "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": "DE00004723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5700109",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carl E. Lindquist School Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Virginia Lindenauer
• Erin Michelle Lindenmeyer, MD
• Evelyn Sue Lindgren
• Karin E Lindgren, ARNP
• Jack Kieran Lindley, DC
• Lindquist Dental Clinic for Children
• Katy Lindquist
• Lauri Mae Lindquist, PH.D.
• Margaret Casey Lindquist, PT, DPT, ATC, OCS
• Dawn Lindsay, LMHCA

• Pediatric Dentistry in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.