Active NPI
Carol Karmen Lui, DDS
- Pediatric Dentistry
- Stanwood, WA
National Provider Identifier
1275121725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 61047652
- Practice address
- 7206 267TH St NW Ste 104
Stanwood, WA 98292-6269 - Phone
- (360) 389-3198
- Fax
- (866) 501-0671
- NPI assigned
- Jan 8, 2021
- Last updated
- Jan 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 61047652 | WA | Primary |
Addresses
Primary practice location
7206 267TH St NW Ste 104
Stanwood, WA 98292-6269
Mailing address
7206 267TH St NW Ste 104
Stanwood, WA 98292-6269
Phone (360) 389-3198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61047652 | WA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Pediatric Dentistry | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Dentistry
- Bellingham, WA
- NPI 1275858029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1275121725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7206 267TH ST NW STE 104",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982926269",
"telephone_number": "360-389-3198",
"fax_number": "866-501-0671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7206 267TH ST NW STE 104",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982926269",
"telephone_number": "360-389-3198",
"fax_number": "866-501-0671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUI",
"first_name": "CAROL",
"middle_name": "KARMEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-08",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "61047652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.