Implant & Periodontal Associates NW Dr Jon Tarleton DDS MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE60455178 Issued in WA

Legal business name

IMPLANT & PERIODONTAL ASSOCIATES NW DR JON TARLETON DDS MSD

Practice address

5723 NE Bothell Way
Suite D
Kenmore, WA 98028

Phone

(425) 486-9111

Fax

(425) 489-1923

NPI assigned

Aug 15, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jon Tarleton, DDS MSD

Title

Owner

Phone

(425) 486-9111

Specialties & licenses 1

Addresses

Tax ID family

Implant Periodontal Associates NW Dr Jon Tarleton DDS MSD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mill Creek Implants & Periodontics

  • Periodontics
  • Mill Creek, WA
  • NPI 1134677792
  NPD tax ID

Locations

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1932654373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5723 NE BOTHELL WAY",
            "address_2": "SUITE D",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "98028",
            "telephone_number": "425-486-9111",
            "fax_number": "425-489-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5723 NE BOTHELL WAY",
            "address_2": "SUITE D",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "98028",
            "telephone_number": "425-486-9111",
            "fax_number": "425-489-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPLANT & PERIODONTAL ASSOCIATES NW DR JON TARLETON DDS MSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "TARLETON",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-486-9111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE60455178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Maxine Howard
• David Huang
• Elizabeth Scranton Hunter, MA
• Julia Icenogle, MOT, OTR/L
• Implant & Periodontal Associates (Cohen & Gottlieb, DDS, PLLC)
• Integral Foundations Physical Therapy PLLC
• Integrative Mental Care
• Clare Anne Isaacson, MA LMHC
• Rebecca Ivy
• Sunita Iyer, ND, LM

• Periodontics in Kenmore, WA
• Providers in Kenmore, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.