Organization Active NPI

Dr Rodney Alles Professional Services PLLC

Doing business as Ideal Dental - Lynnwood

  • Dentist
  • Lynnwood, WA
National Provider Identifier
1922770585
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR RODNEY ALLES PROFESSIONAL SERVICES PLLC
Doing business as
Ideal Dental - Lynnwood
Practice address
3101 184TH St SW Ste 101
Lynnwood, WA 98037-4846
Phone
(425) 341-1653
Fax
(425) 669-1032
NPI assigned
Oct 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Rodney Alles, DDS
Title
Owner
Phone
(972) 331-8079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3101 184TH St SW Ste 101
Lynnwood, WA 98037-4846

Mailing address

PO Box 840925
Dallas, TX 75284-0925
Phone (972) 361-0600

Other names 1

  • Ideal Dental - Lynnwood Doing business as

National Provider Directory

National Provider Directory

Locations

3101 184th St SW
Ste 101
Lynnwood, WA 98037
Phone (425) 341-1653

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": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1922770585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840925",
            "telephone_number": "972-361-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 184TH ST SW STE 101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374846",
            "telephone_number": "425-341-1653",
            "fax_number": "425-669-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RODNEY ALLES PROFESSIONAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "ALLES",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-331-8079",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Dental - Lynnwood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ideal Dental - Lynnwood",
            "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 May 18, 2023; 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.