Organization Active NPI

House, Lee, Mast, McDonald and Nelson, PC

  • Pediatric Dentistry
  • Seattle, WA
National Provider Identifier
1881241826
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2028317MedicaidWA

Other names 1

  • A Kids Place, Too--Dentistry for Children Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Kids Place Dentistry for Children2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.