Individual provider Active NPI

Jared Lothyan, D.D.S.

  • Pediatric Dentistry
  • Renton, WA
National Provider Identifier
1396843892
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE 00010882 Issued in WA
Practice address
364 Renton Center Way SW Ste 62
Renton, WA 98057-2378
Phone
(425) 255-5532
NPI assigned
Sep 20, 2006
Last updated
Jul 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DE 00010882 WA Primary

Addresses

Primary practice location

364 Renton Center Way SW Ste 62
Renton, WA 98057-2378

Mailing address

364 Renton Center Way SW Ste 62
Renton, WA 98057-2378
Phone (425) 255-5532

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

LicenseStateTypeSpecialty
DE 00010882WAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jared D. Lothyan DDS, PS Pediatric Dentistry Past Accepting new patients
Brian Dansie, D.D.S.,M.S.,P.L.L.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1396843892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 RENTON CENTER WAY SW STE 62",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572378",
            "telephone_number": "425-255-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 RENTON CENTER WAY SW STE 62",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572378",
            "telephone_number": "425-255-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTHYAN",
        "first_name": "JARED",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE 00010882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.