Organization Active NPI

Lynnwoodsmiles

  • Dental Clinic/Center
  • Lynnwood, WA
National Provider Identifier
1831349968
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00003742 Issued in WA
Legal business name
LYNNWOODSMILES
Practice address
19514 64TH Ave W Ste a
Lynnwood, WA 98036-5199
Phone
(425) 774-0111
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Dr. Dale Thomas Townsen, DDS
Title
Owner
Phone
(425) 774-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE00003742 WA Primary

Addresses

Primary practice location

19514 64TH Ave W Ste a
Lynnwood, WA 98036-5199

Mailing address

19514 64TH Ave W Ste a
Lynnwood, WA 98036-5199
Phone (425) 774-0111

Other identifiers 2

IdentifierTypeStateIssuer
1285718700OtherWAAETNA, CIGNA, GUARDIAN, METLIFE, PREMERA, REGENCE, WDS -DELTA, UNITED CONCORDIA
1164589206OtherWADELTA DENTAL, REGENCE

National Provider Directory

National Provider Directory

Locations

19514 64th Ave W
Ste A
Lynnwood, WA 98036
Phone (425) 774-0111

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": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1831349968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19514 64TH AVE W STE A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365199",
            "telephone_number": "425-774-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19514 64TH AVE W STE A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365199",
            "telephone_number": "425-774-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNWOODSMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "TOWNSEN",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-774-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00003742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA, CIGNA, GUARDIAN, METLIFE, PREMERA, REGENCE, WDS -DELTA, UNITED CONCORDIA",
            "identifier": "1285718700",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL, REGENCE",
            "identifier": "1164589206",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 25, 2008; 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.