Lori Lynn Radder, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60473172 Issued in WA

Practice address

3628 Meridian St Ste 1C
Bellingham, WA 98225-1735

Phone

(360) 733-5400

NPI assigned

Aug 26, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: info@bellinghamfamilydentistry.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bellingham Family Dentistry

  • Dental Clinic/Center
  • Bellingham, WA
  • NPI 1114261187
  NPD
• Jill Tetrick DDS, PLLC

  • General Practice Dentistry
  • Bellingham, WA
  • NPI 1932613684
  NPD (past)

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1699081778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 MERIDIAN ST STE 1C",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251735",
            "telephone_number": "360-733-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 MERIDIAN ST STE 1C",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251735",
            "telephone_number": "360-733-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADDER",
        "first_name": "LORI",
        "middle_name": "LYNN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60473172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@bellinghamfamilydentistry.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3628 Meridian St Ste 1C",
            "city": "Bellingham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982251735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Rose Quimby-Gorman
• Jeremy P Quinn, PA
• Jennifer J Ra, DMD
• Gita R Rabbani, MD
• Rachel Cox (Advanced Choices)
• Meika Lea Rademacher
• Erika Rado
• Laura Goergen Radocchia, NP
• Jessica I Radovich, MA
• John W Raduege, M.D.

• General Practice Dentistry in Bellingham, WA
• Providers in Bellingham, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.