Active NPI
Terence Mah, D.D.S., M.S.
- Endodontics
- Olympia, WA
National Provider Identifier
1912025420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DE00009219
- Practice address
- 208 Lilly Rd NE
Suite D
Olympia, WA 98506-5031 - Phone
- (360) 491-6945
- NPI assigned
- Mar 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DE00009219 | WA | Primary |
Addresses
Primary practice location
208 Lilly Rd NE
Suite D
Olympia, WA 98506-5031
Mailing address
208 Lilly Rd NE
Suite D
Olympia, WA 98506-5031
Phone (360) 491-6945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00009219 | WA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rohila and Mah PLLC | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912025420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 LILLY RD NE",
"address_2": "SUITE D",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065031",
"telephone_number": "360-491-6945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 LILLY RD NE",
"address_2": "SUITE D",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065031",
"telephone_number": "360-491-6945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAH",
"first_name": "TERENCE",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WA",
"license": "DE00009219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.