NPIMap

Organization Active NPI

Golden Years Smiles LLC

  • Dental Hygienist
  • Monroe, WA
National Provider Identifier
1649694118
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
00006928 Issued in WA
Legal business name
GOLDEN YEARS SMILES LLC
Practice address
22131 Old Owen Rd
Monroe, WA 98272-9625
Phone
(425) 345-6484
NPI assigned
Feb 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Kala WilsonNPI 1750712774
Title
Co-Owner
Phone
(425) 345-6484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X 00006928 WA Primary

Addresses

Primary practice location

22131 Old Owen Rd
Monroe, WA 98272-9625

Mailing address

PO Box 793
Lynnwood, WA 98046-0793
Phone (425) 343-7510

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1649694118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 793",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980460793",
            "telephone_number": "425-343-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22131 OLD OWEN RD",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982729625",
            "telephone_number": "425-345-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KALA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "425-345-6484"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "00006928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.