Active NPI
House, Lee, Mast, McDonald and Nelson, PC
- Pediatric Dentistry
- Seattle, WA
National Provider Identifier
1881241826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
- Practice address
- 2617 California Ave SW
Seattle, WA 98116-2404 - Phone
- (206) 933-5437
- NPI assigned
- Aug 23, 2019
- Organization subpart
- Yes
- Parent organization
- HOUSE, LEE, MAST, MCDONALD AND NELSON, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lanette McIntosh
- Title
- Regional Operations Manager
- Phone
- (425) 396-1011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
2617 California Ave SW
Seattle, WA 98116-2404
Mailing address
2617 California Ave SW
Seattle, WA 98116-2404
Phone (206) 933-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2028317 | Medicaid | WA |
Other names 1
- A Kids Place, Too--Dentistry for Children
National Provider Directory
National Provider Directory- Tax ID family
- A Kids Place Dentistry for Children
- Part of
- House Lee Mast McDonald and Nelson PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Renton, WA
- NPI 1770826927
Locations
2617 California Ave SW
Seattle, WA 98116
Phone (206) 933-5437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609286400000",
"number": "1881241826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2617 CALIFORNIA AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981162404",
"telephone_number": "206-933-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 CALIFORNIA AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981162404",
"telephone_number": "206-933-5437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOUSE, LEE, MAST, MCDONALD AND NELSON, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOUSE, LEE, MAST, MCDONALD AND NELSON, PC",
"enumeration_date": "2019-08-23",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A",
"authorized_official_last_name": "MCINTOSH",
"authorized_official_first_name": "LANETTE",
"authorized_official_title_or_position": "REGIONAL OPERATIONS MANAGER",
"authorized_official_telephone_number": "425-396-1011"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2028317",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "A Kids Place, Too--Dentistry for Children",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "A Kids Place, Too--Dentistry for Children",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.