NPIMap

Organization Active NPI

Ariel J. Raigrodski, DMD, PLLC

  • Dental Clinic/Center
  • Lynnwood, WA
National Provider Identifier
1508314386
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
9970 Issued in WA
Legal business name
ARIEL J. RAIGRODSKI, DMD, PLLC
Practice address
19020 33Rd Ave W
Suite 200
Lynnwood, WA 98036-4746
Phone
(425) 771-2022
NPI assigned
Sep 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Authorized official

Name
Dr. Ariel J Raigrodski, DMD, MS FACPNPI 1639347552
Title
Dentist
Phone
(425) 771-2022

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 9970 WA Primary

Addresses

Primary practice location

19020 33Rd Ave W
Suite 200
Lynnwood, WA 98036-4746

Mailing address

19020 33Rd Ave W
Suite 200
Lynnwood, WA 98036-4746
Phone (425) 771-2022

National Provider Directory

National Provider Directory

Locations

19020 33rd Ave W
Ste 200
Lynnwood, WA 98036
Phone (425) 771-2022

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": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1508314386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 200",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364746",
            "telephone_number": "425-771-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 200",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364746",
            "telephone_number": "425-771-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIEL J. RAIGRODSKI, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "RAIGRODSKI",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-771-2022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS FACP"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "9970",
            "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 Sep 21, 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.