Caddells Laser & Electrolysis Clinic, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CADDELLS LASER & ELECTROLYSIS CLINIC, INC.

Practice address

40 Lake Bellevue Dr Ste 101
Bellevue, WA 98005-2479

Phone

(425) 998-0181

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

Matthew Dunn

Title

Manager

Phone

(206) 488-2215

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1740068279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LAKE BELLEVUE DR STE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LAKE BELLEVUE DR STE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052479",
            "telephone_number": "425-998-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADDELLS LASER & ELECTROLYSIS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-16",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-488-2215"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.