Esther Ra, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DENT.DE.60536013 Issued in WA

Practice address

14991 37TH Ave NE Apt B
Lake Forest Park, WA 98155-7734

Phone

(206) 972-3374

NPI assigned

Feb 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1356732549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 N 185TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14991 37TH AVE NE APT B",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981557734",
            "telephone_number": "206-972-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RA",
        "first_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DENT.DE.60536013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otis Edd Payne, M.D.,PS
• Marilyn Alice Overcast, LMT
• Rebecca Anne Paige, L.M.P.
• Tina Marie Palmer, LMP
• Robyn Phillips-Madson, DO
• Sherill Xinni Ren, M.ED., M.A.
• Robert R. Uhlmansiek, D.D.S., P.S.
• Jeanette Rodriguez, MFCC
• Molly Roklen
• Nicole Susanne Ruttenberg, MS, LMFTA

• General Practice Dentistry in Lake Forest Park, WA
• Providers in Lake Forest Park, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.