Active NPI
Andrew Thomas Lai, DDS
- General Practice Dentistry
- Mount Vernon, WA
National Provider Identifier
1952597775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE0009768
- Practice address
- 2105 Continental PL Ste a
Mount Vernon, WA 98273-4104 - Phone
- (360) 848-7473
- Fax
- (360) 848-6585
- NPI assigned
- Sep 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE0009768 | WA | Primary |
Addresses
Primary practice location
2105 Continental PL Ste a
Mount Vernon, WA 98273-4104
Mailing address
231 SE Barrington Dr
Suite 202
Oak Harbor, WA 98277-3200
Phone (360) 682-5488
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE0009768 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328227200000",
"number": "1952597775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 SE BARRINGTON DR",
"address_2": "SUITE 202",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982773200",
"telephone_number": "360-682-5488",
"fax_number": "360-720-2926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 CONTINENTAL PL STE A",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982734104",
"telephone_number": "360-848-7473",
"fax_number": "360-848-6585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAI",
"first_name": "ANDREW",
"middle_name": "THOMAS",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-16",
"last_updated": "2012-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE0009768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.