NPIMap

Organization Active NPI

Ideal Option, PLLC

  • Clinic/Center
  • Mountlake Terrace, WA
National Provider Identifier
1669955605
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
IDEAL OPTION, PLLC
Practice address
22000 64TH Ave W Ste 2F
Mountlake Terrace, WA 98043-2500
Phone
(877) 522-1275
Fax
(509) 491-3031
NPI assigned
Sep 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Brian Jefferson Dawson, MD
Title
Cmo
Phone
(509) 222-1275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

22000 64TH Ave W Ste 2F
Mountlake Terrace, WA 98043-2500

Mailing address

5615 Dunbarton Ave
Pasco, WA 99301-8216
Phone (877) 522-1275

Other identifiers 1

IdentifierTypeStateIssuer
1457788275OtherWANPI II

National Provider Directory

National Provider Directory
Tax ID family
Ideal Option90 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1669955605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 DUNBARTON AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018216",
            "telephone_number": "877-522-1275",
            "fax_number": "509-491-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22000 64TH AVE W STE 2F",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432500",
            "telephone_number": "877-522-1275",
            "fax_number": "509-491-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL OPTION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JEFFERSON",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "509-222-1275",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI II",
            "identifier": "1457788275",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.