Frederick J Worrell DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE60238959 Issued in WA

Legal business name

FREDERICK J WORRELL DDS PLLC

Practice address

3625 148TH St SW
Suite# B101
Lynnwood, WA 98087-5577

Phone

(425) 773-4909

NPI assigned

Feb 15, 2015

Last updated

Feb 15, 2015By 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. Frederick Julian Worrell, DDSNPI 1689075350

Title

Member

Phone

(206) 294-9001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frederick Worrell, DDS

  • Dentist
  • Lynnwood, WA
  • NPI 1689075350
  Authorized official Same address or phone

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

{
    "created_epoch": "1423958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423958400000",
    "number": "1558752352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16005 NE 198TH ST",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980727016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 148TH ST SW",
            "address_2": "SUITE# B101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980875577",
            "telephone_number": "425-773-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK J WORRELL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-15",
        "last_updated": "2015-02-15",
        "status": "A",
        "authorized_official_last_name": "WORRELL",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "JULIAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-294-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60238959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Lynnwood, WA
• Providers in Lynnwood, 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 Feb 15, 2015; 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.