Allied Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ALLIED FAMILY DENTAL

Practice address

14212 Ambaum Blvd SW
Suite 302
Burien, WA 98166-1449

Phone

(206) 244-7992

NPI assigned

Oct 3, 2011

Last updated

Oct 3, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

DR. NHI PHAM DDSAs reported in NPPES

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

Authorized official

Name

Dimitri Rabinovich

Title

Operations Manager

Phone

(206) 434-7117

Specialties & licenses 1

Addresses

Part of

Allied Family Dental

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1649554189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14212 AMBAUM BLVD SW",
            "address_2": "SUITE 302",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14212 AMBAUM BLVD SW",
            "address_2": "SUITE 302",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661449",
            "telephone_number": "206-244-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED FAMILY DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. NHI PHAM DDS",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "RABINOVICH",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "206-434-7117"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allasso LLC
• Marjie L Alldred, LMP
• Katie Allen
• Kimberly Mae Allen, LMP
• Megan Elaine Allen
• Julie Ann Allred Schroader, LMP
• Anna Alpert, LMP
• Linda Marie Alva-Crofoot, ND
• Eric Gordon Alyea, D.O., M.P.H.
• Julie Kay Ambrose, LICSW

• General Practice Dentistry in Burien, WA
• Providers in Burien, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.