Bothell Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BOTHELL DENTAL CARE

Practice address

10036 NE 185TH St
Bothell, WA 98011-3432

Phone

(425) 486-7765

NPI assigned

Oct 15, 2018

Organization subpart

No

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

Authorized official

Name

Tien-Dat Nguyen

Title

Doctor

Phone

(425) 486-7765

Specialties & licenses 1

Addresses

Other names 1

• DatDental Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Arthur Herseth, DDS

  • General Practice Dentistry
  • Bothell, WA
  • NPI 1871634337
  NPD (past)

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1528534849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10036 NE 185TH ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113432",
            "telephone_number": "425-486-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10036 NE 185TH ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113432",
            "telephone_number": "425-486-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTHELL DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TIEN-DAT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "425-486-7765"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DatDental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ashley Bollentin, LMP
• Norman D Bolosan, DDS
• Judith A. Bond, P.A.
• Bonney Lake Psychiatry LLC
• Bothell Chiropractic & Wellness, PLLC
• Bothell Denture Clinic, Inc.
• Bothell Endodontics
• Bothell Foot & Ankle Clinic PLLC
• Bothell Integrated Health, Inc.
• Bothell Naturopathic Medical Clinic

• General Practice Dentistry in Bothell, WA
• Providers in Bothell, 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 Oct 15, 2018; 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.