Organization Active NPI

Roselind Nam PLLC

Doing business as Premier Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Redmond, WA
National Provider Identifier
1902356058
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE60139654 Issued in WA
Legal business name
ROSELIND NAM PLLC
Doing business as
Premier Orthodontics
Practice address
23535 NE Novelty Hill Rd # D308
Redmond, WA 98053-5502
Phone
(253) 642-6301
NPI assigned
Oct 12, 2016
Last updated
Oct 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Roselind S Nam, DMD, MMSCNPI 1982863437
Title
Orthodontist
Phone
(253) 642-6301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE60139654 WA Primary

Addresses

Primary practice location

23535 NE Novelty Hill Rd # D308
Redmond, WA 98053-5502

Mailing address

9901 SE Shoreland Dr
Bellevue, WA 98004-6508
Phone (253) 642-6301

Other names 1

  • PREMIER ORTHODONTICS Doing business as

National Provider Directory

National Provider Directory

Locations

23535 NE Novelty Hill Rd
#D308
Redmond, WA 98053
Phone (253) 642-6301

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1902356058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 SE SHORELAND DR",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046508",
            "telephone_number": "253-642-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23535 NE NOVELTY HILL RD # D308",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980535502",
            "telephone_number": "253-642-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELIND NAM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "ROSELIND",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "253-642-6301",
        "authorized_official_credential": "DMD, MMSC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE60139654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.