JD Lothyan DDS PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JD LOTHYAN DDS PLLC

Doing business as

Smile Surfers Kids' Dentistry Auburn

Practice address

1110 Harvey Rd NE
Auburn, WA 98002-4218

Phone

(253) 357-0592

NPI assigned

Dec 5, 2022

Last updated

Dec 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Bartlett

Title

Billing Insurance Coordinator

Phone

(253) 833-5137

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Smile Surfers Kids' Dentistry Auburn Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kate Suzanne Goldberg, DDS

  • Pediatric Dentistry
  • Lynnwood, WA
  • NPI 1548656929
  NPD (past)

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1689384299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16209 64TH ST E STE 102",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983903070",
            "telephone_number": "253-833-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 HARVEY RD NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024218",
            "telephone_number": "253-357-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD LOTHYAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BILLING INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "253-833-5137"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5061395",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "frontdesk@surfandsmiles.com",
            "affiliation": "N",
            "address_1": "1110 Harvey Rd NE",
            "city": "Auburn",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980024218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Smile Surfers Kids' Dentistry Auburn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth J Jaramillo, MD
• Tiffany L Jarmon, ATC, ATL
• Jessica Jasper
• Joyce Kathleen Jata, LMP
• Abdoulie Jawara
• Jean-Paul Banh, DDS, PLLC
• Ina Jeanotte
• Jeffrey J Matson DDS Inc
• Connie Marie Jeffries, CDP
• Jenisch Vision Care PLLC

• Pediatric Dentistry in Auburn, WA
• Providers in Auburn, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.