Dr. John Yae DDS PS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6243 Issued in WA

Legal business name

DR. JOHN YAE DDS PS

Practice address

19720 68TH Ave W Ste a
Lynnwood, WA 98036-4568

Phone

(425) 776-9132

NPI assigned

Jun 27, 2018

Organization subpart

No

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

Authorized official

Name

Sherry Lynn Bemis

Title

Office Manager

Phone

(425) 385-2037

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1265927644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19720 68TH AVE W STE A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19720 68TH AVE W STE A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364568",
            "telephone_number": "425-776-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN YAE DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "BEMIS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-385-2037"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "6243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Lynnwood, WA
• Providers in Lynnwood, 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 Jun 27, 2018; 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.