Organization Active NPI

Michael F. Whelan, MD, DDS, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Lynnwood, WA
National Provider Identifier
1962468801
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DE00008281 Issued in WA
Legal business name
MICHAEL F. WHELAN, MD, DDS, P.C.
Practice address
19625 68TH Ave W
Lynnwood, WA 98036-5909
Phone
(425) 778-5991
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael F Whelan, MD, DDSNPI 1164756078
Title
President
Phone
(425) 778-5991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X DE00008281 WA Primary

Addresses

Primary practice location

19625 68TH Ave W
Lynnwood, WA 98036-5909

Mailing address

19625 68TH Ave W
Lynnwood, WA 98036-5909
Phone (425) 778-5991

Other names 1

  • Sound Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

19625 68th Ave W
Lynnwood, WA 98036
Phone (425) 778-5991

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": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962468801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19625 68TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365909",
            "telephone_number": "425-778-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19625 68TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365909",
            "telephone_number": "425-778-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL F. WHELAN, MD, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHELAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-778-5991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE00008281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sound Surgery",
            "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 Aug 22, 2020; 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.