Active NPI
Katy N Lam, DMD
- Dentist
- Everett, WA
National Provider Identifier
1508932773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00009261
- Practice address
- 2722 Colby Ave
Suite 318
Everett, WA 98201-3557 - Phone
- (425) 551-1000
- Fax
- (425) 551-1001
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE00009261 | WA | Primary |
Addresses
Primary practice location
2722 Colby Ave
Suite 318
Everett, WA 98201-3557
Mailing address
PO Box 3007
Seattle, WA 98114-3007
Phone (206) 788-3757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5039086 | Medicaid | WA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160422001742 | WA | Order and Referring Only - Dentist | 3274832456 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00009261 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Snohomish County | Dentist | Past | Accepting new patients |
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.
-
- Dentist
- Everett, WA
- NPI 1164553137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462406400000",
"number": "1508932773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3007",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981143007",
"telephone_number": "206-788-3757",
"fax_number": "206-652-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2722 COLBY AVE",
"address_2": "SUITE 318",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013557",
"telephone_number": "425-551-1000",
"fax_number": "425-551-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "KATY",
"middle_name": "N",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2016-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00009261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5039086",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.