Organization Active NPI

Myla Alder DMD PLLC

  • Dental Clinic/Center
  • Kirkland, WA
National Provider Identifier
1487318986
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MYLA ALDER DMD PLLC
Practice address
9750 NE 120TH PL Ste 4
Kirkland, WA 98034-4207
Phone
(425) 823-8100
NPI assigned
Oct 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Dr. Lyudmyla Alder, DMDNPI 1861986614
Title
Dentist
Phone
(425) 823-8100

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9750 NE 120TH PL Ste 4
Kirkland, WA 98034-4207

Mailing address

1722 185TH Ave NE
Snohomish, WA 98290-4446
Phone (425) 330-1553

Other names 1

  • Alder Creek Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9750 NE 120th Pl
Ste 4
Kirkland, WA 98034
Phone (425) 823-8100

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": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1487318986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 185TH AVE NE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982904446",
            "telephone_number": "425-330-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 NE 120TH PL STE 4",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344207",
            "telephone_number": "425-823-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYLA ALDER DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "ALDER",
        "authorized_official_first_name": "LYUDMYLA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-823-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alder Creek Dental",
            "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 Jan 27, 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.