Individual provider Active NPI

Karen Yee-Lo, D.M.D.

  • Pediatric Dentistry
  • Lakewood, WA
National Provider Identifier
1710137591
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7799 Issued in WA
Practice address
7609 Steilacoom Blvd SW
Suite 100
Lakewood, WA 98498-6199
Phone
(253) 584-3333
Fax
(253) 589-2556
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 7799 WA Primary

Addresses

Primary practice location

7609 Steilacoom Blvd SW
Suite 100
Lakewood, WA 98498-6199

Mailing address

7609 Steilacoom Blvd SW
Suite 100
Lakewood, WA 98498-6199
Phone (253) 584-3333

Other identifiers 2

IdentifierTypeStateIssuer
779281OtherUNITED CONCORDIA
5026596MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7799WAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
John C. Lo Jr DMD & Karen Yee-Lo DMD LLC Pediatric Dentistry Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1710137591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7609 STEILACOOM BLVD SW",
            "address_2": "SUITE 100",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984986199",
            "telephone_number": "253-584-3333",
            "fax_number": "253-589-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7609 STEILACOOM BLVD SW",
            "address_2": "SUITE 100",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984986199",
            "telephone_number": "253-584-3333",
            "fax_number": "253-589-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEE-LO",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "7799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "779281",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5026596",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.