Active NPI
Isabel Liendo Lira, DDS
- Dentist
- Port Townsend, WA
National Provider Identifier
1780269712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE61137018
- Practice address
- 915 Sheridan St
Port Townsend, WA 98368-2931 - Phone
- (360) 344-1005
- Fax
- (360) 344-1004
- NPI assigned
- Mar 11, 2021
- Last updated
- Mar 11, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE61137018 | WA | Primary |
Addresses
Primary practice location
915 Sheridan St
Port Townsend, WA 98368-2931
Mailing address
324 E St
Port Townsend, WA 98368-6564
Phone (954) 702-6407
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 |
|---|---|---|---|
| DE61137018 | WA | MD | Dentist |
Interoperability endpoints
- iliendolira1625026@wm.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1780269712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 E ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983686564",
"telephone_number": "954-702-6407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 SHERIDAN ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983682931",
"telephone_number": "360-344-1005",
"fax_number": "360-344-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIENDO LIRA",
"first_name": "ISABEL",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-11",
"last_updated": "2021-03-11",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE61137018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Townsend, WA
- Cynthia L Levenstein
- Jacqueline Levin, RN, MS
- Bertram Joseph Levy, M.D.
- Darlene Elizabeth Lewis, LMT, MLD-C
- Macrina Shirley May Lewis, RN
- Linda Faye Little, PHD PSYCHOLOGIST
- Sheana Livingstone
- Liza Mathias DDS PLLC (Uptown Dental Clinic)
- Harriet Louise Logg, LMP
- Loomis Restorative Physical Therapy, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.