NPIMap

Organization Active NPI

Family Dental Care of Mill Creek

  • General Practice Dentistry
  • Mill Creek, WA
National Provider Identifier
1437284148
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7324 Issued in WA
Legal business name
FAMILY DENTAL CARE OF MILL CREEK
Practice address
16030 Bothell Everett Hwy Ste 260
Mill Creek, WA 98012-1274
Phone
(425) 745-9420
Fax
(425) 338-7062
NPI assigned
Feb 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas KaneNPI 1932293040
Title
Owner
Phone
(425) 745-9420

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 7324 WA Primary

Addresses

Primary practice location

16030 Bothell Everett Hwy Ste 260
Mill Creek, WA 98012-1274

Mailing address

16030 Bothell Everett Hwy Ste 260
Mill Creek, WA 98012-1274
Phone (425) 745-9420

National Provider Directory

National Provider Directory

Locations

16030 Bothell Everett Hwy
Ste 260
Mill Creek, WA 98012
Phone (425) 745-9420

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437284148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY STE 260",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121274",
            "telephone_number": "425-745-9420",
            "fax_number": "425-338-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY STE 260",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121274",
            "telephone_number": "425-745-9420",
            "fax_number": "425-338-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL CARE OF MILL CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-745-9420",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "7324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.