House, Lee, Mast, McDonald and Nelson, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

HOUSE, LEE, MAST, MCDONALD AND NELSON, PC

Doing business as

Mercer Island Orthodontics

Practice address

3022 78TH Ave SE
Mercer Island, WA 98040-2823

Phone

(206) 275-3042

NPI assigned

Mar 31, 2021

Last updated

Mar 31, 2021By 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

Marilyn Chorak

Title

Reg. Ops Manager

Phone

(206) 275-3042

Specialties & licenses 1

Addresses

Other names 1

• Mercer Island Orthodontics Doing business as

Tax ID family

House Lee Mast McDonald and Nelson PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• House, Lee, Mast, McDonald and Nelson, PC

  dba Fairwood Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Renton, WA
  • NPI 1285212175
  NPD tax ID

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.

• Mario D Chorak, DMD, PS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Renton, WA
  • NPI 1255591897
  NPD (past)

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1699353599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 78TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402823",
            "telephone_number": "206-275-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 78TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402823",
            "telephone_number": "206-275-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE, LEE, MAST, MCDONALD AND NELSON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "CHORAK",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "REG. OPS MANAGER",
        "authorized_official_telephone_number": "206-275-3042"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercer Island Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rory Hiltbrand, DACM, LAC
• Linda Sue Hollier, PT
• Kimberly Hoon
• Meredith Meiko Horiuchi, EAMP, LAC
• Priyanka Hosapura Sheshagiri, DDS
• Andy Hsu
• Lee Liu Huang, L.AC
• Hudson Valley Radiologists, PC
• Allison Leslie Hughes, MD, PHD
• David Humphrey

• Orthodontics and Dentofacial Orthopedics Dentistry in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.