Individual provider Active NPI

Nina S Svino, DDS

  • Dentist
  • Lake Forest Park, WA
National Provider Identifier
1568537256
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00009803 Issued in WA
Practice address
18515 Ballinger Way NE
Lake Forest Park, WA 98155-2555
Phone
(206) 306-0080
Fax
(206) 306-0222
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00009803 WA
Dentist 122300000X DE00009803 WA Primary

Addresses

Primary practice location

18515 Ballinger Way NE
Lake Forest Park, WA 98155-2555

Mailing address

18515 Ballinger Way NE
Lake Forest Park, WA 98155-2555
Phone (206) 306-0080

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

LicenseStateTypeSpecialty
DE00009803WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nina Svino DDS PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1568537256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18515 BALLINGER WAY NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981552555",
            "telephone_number": "206-306-0080",
            "fax_number": "206-306-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18515 BALLINGER WAY NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981552555",
            "telephone_number": "206-306-0080",
            "fax_number": "206-306-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVINO",
        "first_name": "NINA",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009803",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00009803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.