Organization Active NPI

Nam PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bellevue, WA
National Provider Identifier
1649631342
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE60139654 Issued in WA
Legal business name
NAM PLLC
Practice address
5613 119TH Ave SE
Bellevue, WA 98006-3715
Phone
(253) 642-6301
NPI assigned
Mar 9, 2016
Last updated
Mar 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Roselind Nam, DMD
Title
Dentist/ Orthodontist
Phone
(425) 890-3386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DE60139654 WA Primary

Addresses

Primary practice location

5613 119TH Ave SE
Bellevue, WA 98006-3715

Mailing address

9901 SE Shoreland Dr
Bellevue, WA 98004-6508
Phone (425) 890-3386

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1649631342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 SE SHORELAND DR",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046508",
            "telephone_number": "425-890-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5613 119TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063715",
            "telephone_number": "253-642-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "ROSELIND",
        "authorized_official_title_or_position": "DENTIST/ ORTHODONTIST",
        "authorized_official_telephone_number": "425-890-3386",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE60139654",
            "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 Mar 9, 2016; 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.