Robin Au

Primary specialty

DentistTaxonomy code 122300000X

License

DE60970354 Issued in WA

Practice address

10011 Bridgeport Way SW Ste 700
Lakewood, WA 98499-2350

Phone

(253) 215-1101

NPI assigned

Jul 25, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1508410838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 BRIDGEPORT WAY SW STE 700",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 BRIDGEPORT WAY SW STE 700",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992350",
            "telephone_number": "253-215-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AU",
        "first_name": "ROBIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60970354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Beatrice Atieno
• Morgan Atkinson
• Patricia Adele Atkinson, BA
• Mackenzie Attebery-Bock
• Micah Atwood, DO
• Jacqueline Auberger, LMHC
• Toya Mims Aubert
• Heather Nicole Aubrey
• Alyssa Madison Audiffred, LSWAIC
• Maya Audrey

• Dentist in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.