Individual provider Active NPI

Pamela Aissa Lloren, DDS

  • Prosthodontics
  • Silverdale, WA
National Provider Identifier
1457799728
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DE60482650 Issued in WA
Practice address
2021 NW Myhre PL Ste 200
Silverdale, WA 98383-8562
Phone
(360) 779-7414
NPI assigned
Jun 10, 2013
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29028 TX
Dentist 122300000X DR60371551 WA
Prosthodontics 1223P0700X DE60482650 WA Primary

Addresses

Primary practice location

2021 NW Myhre PL Ste 200
Silverdale, WA 98383-8562

Mailing address

8439 34TH Ave SW
Seattle, WA 98126-3757
Phone (956) 655-8866

Other practice location 1

4915 25th Ave NE Ste 205
Seattle, WA 98105-5668
Phone (206) 524-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 12, 2024 through Jan 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29028TXMDDentist
DR60371551WAMDDentist
DE60482650WAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Winston & Letwin DDS, PLLC PastSince Jul 24, 2022 Accepting new patients
Peregrine Pacific Anesthesia PLLC 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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1457799728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8439 34TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263757",
            "telephone_number": "956-655-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 NW MYHRE PL STE 200",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838562",
            "telephone_number": "360-779-7414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4915 25th Ave NE Ste 205",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981055668",
            "country_code": "US",
            "telephone_number": "206-524-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LLOREN",
        "first_name": "PAMELA",
        "middle_name": "AISSA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29028",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DR60371551",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE60482650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.