Active NPI
James To, D.M.D.
- General Practice Dentistry
- Lynnwood, WA
National Provider Identifier
1376615500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9165
- Practice address
- 3501 Shelby Rd Ste a
Lynnwood, WA 98087-3599 - Phone
- (425) 743-2999
- Fax
- (425) 742-3722
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9165 | WA | Primary |
Addresses
Primary practice location
3501 Shelby Rd Ste a
Lynnwood, WA 98087-3599
Mailing address
3626 176TH St SW
Lynnwood, WA 98037-7551
Phone (425) 218-8135
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9165 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376615500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3626 176TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980377551",
"telephone_number": "425-218-8135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 SHELBY RD STE A",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980873599",
"telephone_number": "425-743-2999",
"fax_number": "425-742-3722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TO",
"first_name": "JAMES",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "9165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.