Organization Active NPI

Clint T. Worton, DDS - Lynnwood, PS

Doing business as Alderwood Children's Dentistry

  • Dental Clinic/Center
  • Lynnwood, WA
National Provider Identifier
1922253723
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE 8714 Issued in WA
Legal business name
CLINT T. WORTON, DDS - LYNNWOOD, PS
Doing business as
Alderwood Children's Dentistry
Practice address
19106 33Rd Ave W
Suite 1
Lynnwood, WA 98036-4712
Phone
(425) 775-5411
Fax
(425) 771-8321
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. Clint Worton, DDS
Title
President
Phone
(425) 775-5411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE 8714 WA Primary

Addresses

Primary practice location

19106 33Rd Ave W
Suite 1
Lynnwood, WA 98036-4712

Mailing address

19106 33Rd Ave W
Suite 1
Lynnwood, WA 98036-4712
Phone (425) 775-5411

Other names 1

  • Alderwood Children's Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

19106 33rd Ave W
Ste 1
Lynnwood, WA 98036
Phone (425) 775-5411

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1922253723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19106 33RD AVE W",
            "address_2": "SUITE 1",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364712",
            "telephone_number": "425-775-5411",
            "fax_number": "425-771-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19106 33RD AVE W",
            "address_2": "SUITE 1",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364712",
            "telephone_number": "425-775-5411",
            "fax_number": "425-771-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINT T. WORTON, DDS - LYNNWOOD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "WORTON",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-775-5411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE 8714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alderwood Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.