NPIMap

Organization Active NPI

Saulter, Im, & Tsuchikawa DDS, PS

  • General Practice Dentistry
  • Lynnwood, WA
National Provider Identifier
1669916359
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60291986 Issued in WA
Legal business name
SAULTER, IM, & TSUCHIKAWA DDS, PS
Practice address
3505 188TH St SW
Lynnwood, WA 98037-4707
Phone
(425) 744-1022
Fax
(425) 744-0933
NPI assigned
Dec 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Authorized official

Name
Mrs. Laura Campbell
Title
Financial Coordinator
Phone
(425) 744-1022

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DE60291986 WA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DE00010275 WA

Addresses

Primary practice location

3505 188TH St SW
Lynnwood, WA 98037-4707

Mailing address

3505 188TH St SW
Lynnwood, WA 98037-4707
Phone (425) 744-1022

Other names 1

  • Sunrise Dental Of Lynnwood Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1669916359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 188TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374707",
            "telephone_number": "425-744-1022",
            "fax_number": "425-744-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 188TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374707",
            "telephone_number": "425-744-1022",
            "fax_number": "425-744-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAULTER, IM, & TSUCHIKAWA DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "425-744-1022",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60291986",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Dental Of Lynnwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.