Roger W. Lucas DDS, P.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE00011254 Issued in WA

Legal business name

ROGER W. LUCAS DDS, P.S.

Practice address

18833 28TH Ave W
Suite B
Lynnwood, WA 98036-4714

Phone

(425) 774-1285

Fax

(425) 774-1822

NPI assigned

Aug 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Roger Lucas, DDSNPI 1427211432

Title

President

Phone

(425) 774-1285

Specialties & licenses 1

Addresses

Other names 1

• Lynnwood Kids Dentist Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger W Lucas, DDS

  • Pediatric Dentistry
  • Lynnwood, WA
  • NPI 1427211432
  NPD (past) Authorized official
• Kate Suzanne Goldberg, DDS

  • Pediatric Dentistry
  • Lynnwood, WA
  • NPI 1548656929
  NPD (past)

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1851670947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18833 28TH AVE W",
            "address_2": "SUITE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364714",
            "telephone_number": "425-774-1285",
            "fax_number": "425-774-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18833 28TH AVE W",
            "address_2": "SUITE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364714",
            "telephone_number": "425-774-1285",
            "fax_number": "425-774-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER W. LUCAS DDS, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-774-1285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00011254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynnwood Kids Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerry Kristen Rodgers, RN, BS
• Jessica Rodriguez-Jenkins, MSW, LICSW
• Mayra C Rodriguez, CASE MANAGER
• Rosalinda Rodriguez
• Kimberly Laine Roehl, LMP
• Kwangho Caleb Roh, DC
• Mehdi Rohany, M.D.
• Brittani Rohrig
• Rachel Alene Rolen, RN
• Michelle Marie Rolfson, RN-BSN

• Dentist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.