Individual provider Active NPI

Laura Liutkiene, D.D.S

  • General Practice Dentistry
  • Covington, WA
National Provider Identifier
1477728749
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00011010 Issued in WA
Practice address
17224 SE 272ND St
Covington, WA 98042-4953
Phone
(253) 630-4400
Fax
(253) 631-2267
NPI assigned
Apr 28, 2008
Last updated
Apr 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00011010 WA Primary

Addresses

Primary practice location

17224 SE 272ND St
Covington, WA 98042-4953

Mailing address

17224 SE 272ND St
Covington, WA 98042-4953
Phone (253) 630-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 24, 2016 through Mar 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE00011010WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Covington Family Dentistry, PLLC General Practice PastSince May 12, 2024 Accepting new patients

Organizations & group practices 1

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1477728749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17224 SE 272ND ST",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424953",
            "telephone_number": "253-630-4400",
            "fax_number": "253-631-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17224 SE 272ND ST",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424953",
            "telephone_number": "253-630-4400",
            "fax_number": "253-631-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIUTKIENE",
        "first_name": "LAURA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00011010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, WA

Sources for this page

Verify at the official NPI Registry.