House, Lee, Mast, McDonald and Nelson, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

HOUSE, LEE, MAST, MCDONALD AND NELSON, PC

Practice address

14300 SE Petrovitsky Rd
Renton, WA 98058-8955

Phone

(425) 235-8800

NPI assigned

Mar 31, 2021

Organization subpart

No

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

Authorized official

Name

Lanette McIntosh

Title

Reg. Ops Manager

Phone

(425) 396-1011

Specialties & licenses 1

Addresses

Other names 1

• Fairwood Orthodontics Doing business as

Tax ID family

House Lee Mast McDonald and Nelson PC2 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.

• House, Lee, Mast, McDonald and Nelson, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mercer Island, WA
  • NPI 1699353599
  NPD tax ID

Locations

Practitioners 1

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

• Mario D Chorak, DMD, PS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Renton, WA
  • NPI 1255591897
  NPD (past)

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1285212175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 SE PETROVITSKY RD",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980588955",
            "telephone_number": "425-235-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 SE PETROVITSKY RD",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980588955",
            "telephone_number": "425-235-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3022 78th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Mercer Island",
            "state": "WA",
            "postal_code": "980402823",
            "country_code": "US",
            "telephone_number": "206-275-3042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOUSE, LEE, MAST, MCDONALD AND NELSON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "LANETTE",
        "authorized_official_title_or_position": "REG. OPS MANAGER",
        "authorized_official_telephone_number": "425-396-1011"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairwood Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roxanne J. Horwath, PA-C
• Erin M Hott, M.D.
• Wen Pin Hou, DC
• Kenza Houki, DMD
• Alison Julia Houng
• House, Lee, Mast, McDonald and Nelson, PC
• House, Lee, Mast, McDonald and Nelson, PC
• Housecall Hygienists
• John Wayne Houston
• Howard B Miller MD Inc PS

• Orthodontics and Dentofacial Orthopedics Dentistry in Renton, WA
• Providers in Renton, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.