Northwest Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009461 Issued in WA

Legal business name

NORTHWEST DENTAL PLLC

Practice address

720 S 348TH St
#A1-a
Federal Way, WA 98003-7000

Phone

(253) 517-9065

Fax

(253) 251-1938

NPI assigned

Dec 13, 2009

Last updated

May 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yako Liu, DDSNPI 1154486561

Title

Manager

Phone

(253) 517-9065

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yako Liu, D.D.S.

  • General Practice Dentistry
  • Federal Way, WA
  • NPI 1154486561
  NPD (past) Authorized official
• Mei-Ting Nieh, D.D.S.

  • General Practice Dentistry
  • Federal Way, WA
  • NPI 1013072370
  NPD (past)

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

{
    "created_epoch": "1260662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1881923357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S 348TH ST",
            "address_2": "#A1-A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037000",
            "telephone_number": "253-517-9065",
            "fax_number": "253-251-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S 348TH ST",
            "address_2": "#A1-A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037000",
            "telephone_number": "253-517-9065",
            "fax_number": "253-251-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-13",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "YAKO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-517-9065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark D Nordlie, DDS
• Norma Therapy Group, PLLC
• Courtney Norman, PT, DPT
• Northwest Chiropractic, Inc.
• Northwest Credible Messengers LLC
• Northwest Kidney Centers (Federal Way East)
• Northwest Kidney Centers (Federal Way West Campus Kidney Center)
• Northwest Observation Associates PC
• Northwest Physician Associates, Apc
• Northwest Resources One, LLC

• General Practice Dentistry in Federal Way, WA
• Providers in Federal Way, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.