NPIMap

Organization Active NPI

Mock & Tran-Dilay Dentistry PLLC

  • General Practice Dentistry
  • Kirkland, WA
National Provider Identifier
1407168388
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00011020 Issued in WA
Legal business name
MOCK & TRAN-DILAY DENTISTRY PLLC
Practice address
12817 120TH Ave NE Ste B
Kirkland, WA 98034-3001
Phone
(425) 821-9300
Fax
(425) 821-8601
NPI assigned
Jul 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Ann Tran-Dilay, DMDNPI 1063619880
Title
Dentist
Phone
(425) 821-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00011020 WA Primary

Addresses

Primary practice location

12817 120TH Ave NE Ste B
Kirkland, WA 98034-3001

Mailing address

12817 120TH Ave NE Ste B
Kirkland, WA 98034-3001

Other names 1

  • Mock & Tran Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

12817 120th Ave NE
Ste B
Kirkland, WA 98034
Phone (425) 821-9300

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": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1407168388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12817 120TH AVE NE STE B",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12817 120TH AVE NE STE B",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343001",
            "telephone_number": "425-821-9300",
            "fax_number": "425-821-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOCK & TRAN-DILAY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "TRAN-DILAY",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-821-9300",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00011020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mock & Tran Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.