Organization Active NPI

Bakodent Denturist Clinic

  • Denturist
  • Bellevue, WA
National Provider Identifier
1366589913
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DN048 Issued in WA
Legal business name
BAKODENT DENTURIST CLINIC
Practice address
15613 Bel Red Rd
BLDG B, Suite B
Bellevue, WA 98008-2348
Phone
(425) 869-4112
Fax
(425) 861-4959
NPI assigned
Jan 31, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Laslo Bako
Title
DPD
Phone
(425) 869-4112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X DN048 WA Primary

Addresses

Primary practice location

15613 Bel Red Rd
BLDG B, Suite B
Bellevue, WA 98008-2348

Mailing address

15613 Bel Red Rd
BLDG B, Suite B
Bellevue, WA 98008-2348
Phone (425) 869-4112

National Provider Directory

National Provider Directory

Locations

15613 Bel Red Rd
Ste B
Bellevue, WA 98008
Phone (425) 869-4112

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366589913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15613 BEL RED RD",
            "address_2": "BLDG B, SUITE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082348",
            "telephone_number": "425-869-4112",
            "fax_number": "425-861-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15613 BEL RED RD",
            "address_2": "BLDG B, SUITE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082348",
            "telephone_number": "425-869-4112",
            "fax_number": "425-861-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKODENT DENTURIST CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKO",
        "authorized_official_first_name": "LASLO",
        "authorized_official_title_or_position": "DPD",
        "authorized_official_telephone_number": "425-869-4112"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.