Andrew Higgins D.D.S, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE60538445 Issued in WA

Legal business name

ANDREW HIGGINS D.D.S, PLLC

Doing business as

Lake Meridian Dental Care

Practice address

17327 SE 270TH PL
Suite 113
Covington, WA 98042-5451

Phone

(253) 455-7170

NPI assigned

May 9, 2016

Last updated

May 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Higgins, D.D.S

Title

Owner

Phone

(703) 864-0821

Specialties & licenses 1

Addresses

Other names 1

• Lake Meridian Dental Care Doing business as

Locations

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1548616501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17327 SE 270TH PL",
            "address_2": "SUITE 113",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980425451",
            "telephone_number": "253-455-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17327 SE 270TH PL",
            "address_2": "SUITE 113",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980425451",
            "telephone_number": "253-455-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW HIGGINS D.D.S, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-864-0821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60538445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Meridian Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Covington, WA
• Providers in Covington, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.