Diane Vo

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00007951 Issued in WA

Practice address

18404 104TH Ave NE
Bothell, WA 98011-3414

Phone

(425) 486-2422

Fax

(425) 486-2712

NPI assigned

May 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Northshore Dental Center LLC

  dba Northshore Dental Center

  • Dentist
  • Bothell, WA
  • NPI 1760695282
  NPD Authorized official

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1417216557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18404 104TH AVE NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113414",
            "telephone_number": "425-486-2422",
            "fax_number": "425-486-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18404 104TH AVE NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113414",
            "telephone_number": "425-486-2422",
            "fax_number": "425-486-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Nayib Villalobos Plascencia, COTA/L
• Esteban Vindiola
• Andrea Vintertun, HEARING INSTRUMENT S
• Viome Life Sciences Inc
• Jennifer Heringer Vires, EAMC, LAC
• Tran Vo
• Katherine Vogel, D.D.S.
• Megan K Vogel, LMP
• Christopher T.H. Vong
• Laura Vong

• General Practice Dentistry in Bothell, WA
• Providers in Bothell, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.