NPIMap

Organization Active NPI

Susan D Labounty DDS PLLC

  • Dental Clinic/Center
  • Bellevue, WA
National Provider Identifier
1639448459
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE0006423 Issued in WA
Legal business name
SUSAN D LABOUNTY DDS PLLC
Practice address
15613 Bel Red Rd
BLDG B Ste C
Bellevue, WA 98008-2348
Phone
(425) 869-7560
Fax
(425) 869-7699
NPI assigned
Dec 22, 2011
Last updated
Dec 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Dr. Susan Dawn Labounty, DDSNPI 1275583957
Title
Manager
Phone
(425) 869-7560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE0006423 WA Primary

Addresses

Primary practice location

15613 Bel Red Rd
BLDG B Ste C
Bellevue, WA 98008-2348

Mailing address

15613 Bel Red Rd
BLDG B Ste C
Bellevue, WA 98008-2348
Phone (425) 869-7560

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1639448459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15613 BEL RED RD",
            "address_2": "BLDG B STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082348",
            "telephone_number": "425-869-7560",
            "fax_number": "425-869-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15613 BEL RED RD",
            "address_2": "BLDG B STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082348",
            "telephone_number": "425-869-7560",
            "fax_number": "425-869-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN D LABOUNTY DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "LABOUNTY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "425-869-7560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE0006423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.