Individual provider Active NPI

Regina Kai-Lai Lam, DDS

  • Dentist
  • Bellevue, WA
National Provider Identifier
1508129735
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60291986 Issued in WA
Practice address
4122 Factoria Blvd SE Ste 301
Bellevue, WA 98006-4277
Phone
(425) 401-5000
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60291986 WA Primary

Addresses

Primary practice location

4122 Factoria Blvd SE Ste 301
Bellevue, WA 98006-4277

Mailing address

1026 NE 65TH St Unit 516
Seattle, WA 98115-6666
Phone (808) 389-2682

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
DE60291986WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Regina Lam, DDS, PLLC CurrentSince Nov 8, 2020 Accepting new patients
Steven L. Paige DDS & Leroy Horton DDS, PLLC Past Accepting new patients

Locations

3505 188th St SW
Lynnwood, WA 98037
Phone (425) 744-1022

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1508129735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 NE 65TH ST UNIT 516",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156666",
            "telephone_number": "808-389-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 FACTORIA BLVD SE STE 301",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980064277",
            "telephone_number": "425-401-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "REGINA",
        "middle_name": "KAI-LAI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60291986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.