Orthodontic Associates of Mercer Island

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3254-WA Issued in WA

Legal business name

ORTHODONTIC ASSOCIATES OF MERCER ISLAND

Practice address

2717 80TH Avenue SE
Mercer Island, WA 98040

Phone

(206) 232-9600

Fax

(206) 232-2936

NPI assigned

Sep 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robert Williams McNeill, DDS, MS, PS

Title

Corporate Officer - President

Phone

(206) 232-9600

Specialties & licenses 1

Addresses

Tax ID family

Orthodontic Associates of Mercer Island2 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.

• Orthodontic Associates of Mercer Island

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mercer Island, WA
  • NPI 1083714877
  NPD tax ID

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1306079538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 80TH AVENUE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "98040",
            "telephone_number": "206-232-9600",
            "fax_number": "206-232-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 80TH AVENUE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "98040",
            "telephone_number": "206-232-9600",
            "fax_number": "206-232-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC ASSOCIATES OF MERCER ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "MCNEILL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "CORPORATE OFFICER - PRESIDENT",
        "authorized_official_telephone_number": "206-232-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, PS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "3254-WA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe Marie Noyes, RDN
• Lynne O'Brien, M.ED., BCBA
• Kaya Wynn O'Connor, MSW, LICSW
• Olympic Physical Therapy, Inc.
• Orthodontic Associates of Mercer Island
• Anna Margaret Orton, LMHC
• Pacific Northwest Dental Anesthesia Services LLC
• Jahna Pahl, LMHC-A, LMFT
• Maki Park
• Jeffrey S Parton

• Orthodontics and Dentofacial Orthopedics Dentistry in Mercer Island, WA
• Providers in Mercer Island, 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 Sep 4, 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.