Individual provider Active NPI

Ashok Augustine Lalli, D.D.S

  • General Practice Dentistry
  • Kent, WA
National Provider Identifier
1316153950
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Nov 20, 2012.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE005520 Issued in WA
Practice address
26228 Pacific Hwy S
Midway Dental Center
Kent, WA 98032-6934
Phone
(253) 941-1889
Fax
(253) 941-3363
NPI assigned
May 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE005520 WA Primary

Addresses

Primary practice location

26228 Pacific Hwy S
Midway Dental Center
Kent, WA 98032-6934

Mailing address

Midway Dental Center
26228 Pacific Hwy So
Kent, WA 98032
Phone (253) 941-1889

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DE005520WAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316153950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MIDWAY DENTAL CENTER",
            "address_2": "26228 PACIFIC HWY SO",
            "city": "KENT",
            "state": "WA",
            "postal_code": "98032",
            "telephone_number": "253-941-1889",
            "fax_number": "253-941-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26228 PACIFIC HWY S",
            "address_2": "MIDWAY DENTAL CENTER",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980326934",
            "telephone_number": "253-941-1889",
            "fax_number": "253-941-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLI",
        "first_name": "ASHOK",
        "middle_name": "AUGUSTINE",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE005520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.