Organization Active NPI

C Lea DMD PLLC

  • Endodontics
  • Lynnwood, WA
National Provider Identifier
1881029593
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DE60190114 Issued in WA
Legal business name
C LEA DMD PLLC
Practice address
18631 Alderwood Mall Pkwy Ste 203
Lynnwood, WA 98037-8057
Phone
(425) 627-3737
NPI assigned
Sep 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Carina Lea, DMD
Title
President
Phone
(425) 672-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X DE60190114 WA Primary

Addresses

Primary practice location

18631 Alderwood Mall Pkwy Ste 203
Lynnwood, WA 98037-8057

Mailing address

18631 Alderwood Mall Pkwy Ste 203
Lynnwood, WA 98037-8057
Phone (425) 627-3737

Other names 1

  • Lynnwood Endodontics PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

18631 Alderwood Mall Pkwy
Ste 203
Lynnwood, WA 98037
Phone (425) 627-3737

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": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1881029593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18631 ALDERWOOD MALL PKWY STE 203",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378057",
            "telephone_number": "425-627-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18631 ALDERWOOD MALL PKWY STE 203",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378057",
            "telephone_number": "425-627-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C LEA DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "LEA",
        "authorized_official_first_name": "CARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-672-3737",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60190114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynnwood Endodontics PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 12, 2013; 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.