Organization Active NPI

Lynn R,, Cheney, DDS, PLLC

  • General Practice Dentistry
  • Monroe, WA
National Provider Identifier
1730148248
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00008524 Issued in WA
Legal business name
LYNN R,, CHENEY, DDS, PLLC
Practice address
1221 W Main St
Monroe, WA 98272-2028
Phone
(360) 794-5788
Fax
(360) 863-0318
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Dr. Lynn R Cheney, DDS
Title
Owner
Phone
(360) 794-5788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00008524 WA Primary

Addresses

Primary practice location

1221 W Main St
Monroe, WA 98272-2028

Mailing address

1221 W Main St
Monroe, WA 98272-2028
Phone (360) 794-5788

Other identifiers 1

IdentifierTypeStateIssuer
5032297MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1730148248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W MAIN ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722028",
            "telephone_number": "360-794-5788",
            "fax_number": "360-863-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W MAIN ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722028",
            "telephone_number": "360-794-5788",
            "fax_number": "360-863-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN R,, CHENEY, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "CHENEY",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-794-5788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5032297",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.