Katrina Lo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE60900883 Issued in WA

Practice address

7107 NE Vancouver Mall Dr Ste D
Vancouver, WA 98661-8179

Phone

(360) 892-6555

Fax

(360) 892-4170

NPI assigned

Jul 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Katrina P Lo DMD PLLC

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1083562342
  NPD Authorized official

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1922451392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7107 NE VANCOUVER MALL DR STE D",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986618179",
            "telephone_number": "360-892-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7107 NE VANCOUVER MALL DR STE D",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986618179",
            "telephone_number": "360-892-6555",
            "fax_number": "360-892-4170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "980 King Plz",
            "address_2": "#5",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940154450",
            "country_code": "US",
            "telephone_number": "650-878-1373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LO",
        "first_name": "KATRINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100288",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11414",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60900883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Lloyd, LCSW
• James Ryan Lloyd, PSY.D.
• Karin S Lloyd, PHD
• LM Nursing Services
• Cary Lo
• Kaisa Kay Lobbestael, RN
• Tallon Lobbestael, DC
• Penelope Hall Lobdell, MSPT
• Zach Lobetos
• Andrew Scott Lobner

• Dentist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.