Aj Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE9339 Issued in WA

Legal business name

AJ FAMILY DENTISTRY

Practice address

921 Vernon Rd
Lake Stevens, WA 98258-7931

Phone

(425) 610-4751

Fax

(425) 610-4751

NPI assigned

Sep 16, 2010

Last updated

Sep 16, 2010By 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

Dr. Johnny Ty Tien, DDSNPI 1902002363

Title

President

Phone

(253) 332-5457

Specialties & licenses 1

Addresses

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.

• Johnny Tseng-Yung Tien, D.D.S.

  • Dentist
  • Lake Stevens, WA
  • NPI 1902002363
  NPD (past) Authorized official

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1750699377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 57TH AVE SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982966974",
            "telephone_number": "425-610-4751",
            "fax_number": "425-610-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 VERNON RD",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587931",
            "telephone_number": "425-610-4751",
            "fax_number": "425-610-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJ FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "TIEN",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "TY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-332-5457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE9339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aafc Enterprises LLC
• Mackenzie Claire Acker
• Tina Joy Ackerson, RN
• Brandon Scott Adams, DDS
• Michaela Adams
• Alderwood Ankle & Foot Clinic P.S. (Lake Stevens Ankle and Foot Clinic)
• Amy Allyn, LMHC
• Amy Moslander-Thompson, DDS, PLLC (New Life Dental Arts)
• Amy Anderson, BA, LMP
• Anesthesia Puget Sound PLLC

• Dental Clinic/Center in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.