South Everett Orthodontics LLC

Primary specialty

Dental AssistantTaxonomy code 126800000X

Legal business name

SOUTH EVERETT ORTHODONTICS LLC

Practice address

120 Avenue a Ste a
Snohomish, WA 98290-2961

Phone

(360) 863-2517

NPI assigned

Aug 30, 2022

Organization subpart

No

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

Authorized official

Name

Alma M Tendencia, RDANPI 1710615414

Title

Dental Assistant

Phone

(425) 387-6794

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alma Mocon Tendencia, RDA

  • Dental Assistant
  • Everett, WA
  • NPI 1710615414
  NPD Authorized official
• William Donald Oliver, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Everett, WA
  • NPI 1346265857
  NPD (past)

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1326768409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18928 43RD DR NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982234845",
            "telephone_number": "425-387-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 AVENUE A STE A",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902961",
            "telephone_number": "360-863-2517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Avenue A Ste B",
            "address_purpose": "LOCATION",
            "city": "Snohomish",
            "state": "WA",
            "postal_code": "982902961",
            "country_code": "US",
            "telephone_number": "425-338-5414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH EVERETT ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "TENDENCIA",
        "authorized_official_first_name": "ALMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTAL ASSISTANT",
        "authorized_official_telephone_number": "425-387-6794",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Lucius Soka
• Corinne Dixon Sorby, LMP
• Trevor L Souik, DPT
• Sound Balance Solutions Physical Therapy, PLLC
• Sound Pain Alliance
• Alexandra Souther, DPT
• Meredith Souza, RN, BSN
• Kate Sproul, MA, LMHC
• Sprout and Thrive LLC (Sprout and Thrive)
• SS Counseling Services, LLC

• Dental Assistant in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Dental Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.