Mona Butani DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MONA BUTANI DMD PLLC

Practice address

12911 120TH Ave NE Ste D50
Kirkland, WA 98034-3007

Phone

(425) 820-0900

NPI assigned

May 23, 2019

Organization subpart

No

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

Authorized official

Name

Michelle Clark

Title

Office Manager

Phone

(425) 820-0900

Specialties & licenses 1

Addresses

Other names 1

• Totem Lake Family Dentistry Other name

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1508423682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE D50",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343007",
            "telephone_number": "425-820-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE D50",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343007",
            "telephone_number": "425-820-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONA BUTANI DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-820-0900"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Totem Lake Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan Moini, LICSW
• Alyssa Shine Mojica
• Stephanie Ann Mojica, RPH
• Bianca Molina Vergara
• Richard Edward Molitor Jr., R.PH.
• Melissa Monahan, LMHCA
• Monroe Therapeutic Massage PS
• Hayley Monroy
• Jack Monserud, CPC
• Kendra Jon Monteith

• General Practice Dentistry in Kirkland, WA
• Providers in Kirkland, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.