Individual provider Active NPI

Luke Douglas Daining, D.D.S.

  • General Practice Dentistry
  • Lynnwood, WA
National Provider Identifier
1487944013
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60371408 Issued in WA
Practice address
19108 33Rd Ave W Ste a
Lynnwood, WA 98036-4728
Phone
(425) 361-2856
NPI assigned
Apr 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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 DE60371408 WA Primary

Addresses

Primary practice location

19108 33Rd Ave W Ste a
Lynnwood, WA 98036-4728

Mailing address

19108 33Rd Ave W Ste a
Lynnwood, WA 98036-4728
Phone (425) 361-2856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE60371408WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Luke Daining, DDS, PLLC Current Accepting new patients

Locations

19108 33rd Ave W
Ste A
Lynnwood, WA 98036
Phone (425) 361-2856

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1487944013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19108 33RD AVE W STE A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364728",
            "telephone_number": "425-361-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19108 33RD AVE W STE A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364728",
            "telephone_number": "425-361-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAINING",
        "first_name": "LUKE",
        "middle_name": "DOUGLAS",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-16",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60371408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.