Active NPI
Carina L Lea, D.M.D
- Endodontics
- Seattle, WA
National Provider Identifier
1770819245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DE60190114
- Practice address
- 701 N 34TH St Ste 210
Seattle, WA 98103-3414 - Phone
- (206) 633-3636
- Fax
- (206) 633-3639
- NPI assigned
- Oct 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 054714 | NY | |
| Endodontics | 1223E0200X | DE60190114 | WA | Primary |
Addresses
Primary practice location
701 N 34TH St Ste 210
Seattle, WA 98103-3414
Mailing address
1212 41St Ave E
Seattle, WA 98112-4408
Phone (267) 258-8522
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
| License | State | Type | Specialty |
|---|---|---|---|
| 054714 | NY | MD | Endodontist |
| DE60190114 | WA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carina Lea DMD PC | Endodontics | 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.
-
- Endodontics
- Seattle, WA
- NPI 1265773964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1770819245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 41ST AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981124408",
"telephone_number": "267-258-8522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N 34TH ST STE 210",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981033414",
"telephone_number": "206-633-3636",
"fax_number": "206-633-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEA",
"first_name": "CARINA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-19",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "054714",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WA",
"license": "DE60190114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.