Active NPI
Ran Tao, RDH
- Dental Hygienist
- Everett, WA
National Provider Identifier
1548867302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH61102527
- Practice address
- 1019 112TH St SW
Everett, WA 98204-4875 - Phone
- (425) 551-6001
- Fax
- (425) 551-6009
- NPI assigned
- Oct 5, 2020
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH61102527 | WA | Primary |
Addresses
Primary practice location
1019 112TH St SW
Everett, WA 98204-4875
Mailing address
19311 24TH Ave W Unit C
Lynnwood, WA 98036-4848
Phone (206) 883-6294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH61102527 | WA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1548867302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19311 24TH AVE W UNIT C",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364848",
"telephone_number": "206-883-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 112TH ST SW",
"city": "EVERETT",
"state": "WA",
"postal_code": "982044875",
"telephone_number": "425-551-6001",
"fax_number": "425-551-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAO",
"first_name": "RAN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-05",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "DH61102527",
"primary": true
}
],
"identifiers": [],
"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 Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.