NPIMap

Organization Active NPI

Suman Chintala Family Dental PLLC

  • Dental Clinic/Center
  • Lynnwood, WA
National Provider Identifier
1740706373
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00011103 Issued in WA
Legal business name
SUMAN CHINTALA FAMILY DENTAL PLLC
Practice address
5017 196TH St SW Ste 202
Lynnwood, WA 98036-6123
Phone
(425) 778-5665
Fax
(425) 778-3356
NPI assigned
Aug 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Suman Chintala, DMDNPI 1164625315
Title
President
Phone
(425) 778-5665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE00011103 WA Primary

Addresses

Primary practice location

5017 196TH St SW Ste 202
Lynnwood, WA 98036-6123

Mailing address

5017 196TH St SW Ste 202
Lynnwood, WA 98036-6123
Phone (425) 778-5665

Other names 1

  • Lynnwood dental studio Doing business as

National Provider Directory

National Provider Directory

Locations

5017 196th St SW
Ste 202
Lynnwood, WA 98036
Phone (425) 778-5665

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": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740706373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 196TH ST SW STE 202",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366123",
            "telephone_number": "425-778-5665",
            "fax_number": "425-778-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 196TH ST SW STE 202",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366123",
            "telephone_number": "425-778-5665",
            "fax_number": "425-778-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMAN CHINTALA FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHINTALA",
        "authorized_official_first_name": "SUMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-778-5665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00011103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynnwood dental studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lynnwood dental studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.