Organization Active NPI

Lake and Lemery, PLLC

Doing business as Overlake Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bellevue, WA
National Provider Identifier
1407152952
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
603066082 Issued in WA
Legal business name
LAKE AND LEMERY, PLLC
Doing business as
Overlake Orthodontics
Practice address
14420 Bel Red Rd Ste 105
Bellevue, WA 98007-3930
Phone
(425) 641-4200
Fax
(425) 641-4418
NPI assigned
Feb 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Charlotte Lemery
Title
Business Manager
Phone
(425) 641-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 603066082 WA Primary

Addresses

Primary practice location

14420 Bel Red Rd Ste 105
Bellevue, WA 98007-3930

Mailing address

14420 Bel Red Rd Ste 105
Bellevue, WA 98007-3930
Phone (425) 641-4200

Other names 1

  • Overlake Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

14420 NE Bel Red Rd
Ste 105
Bellevue, WA 98007
Phone (425) 641-4200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1407152952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14420 BEL RED RD STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073930",
            "telephone_number": "425-641-4200",
            "fax_number": "425-641-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14420 BEL RED RD STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073930",
            "telephone_number": "425-641-4200",
            "fax_number": "425-641-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE AND LEMERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "LEMERY",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "425-641-4200"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "603066082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Overlake Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 1, 2011; 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.