DR. ARIEL J RAIGRODSKI (NPI# 1639347552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639347552 |
Entity Type | Individual |
Full Name | DR. ARIEL J RAIGRODSKI |
Credential | DMD, MS, FACP, PLLC |
Practice Address |
19020 33rd Ave W Suite 200 Lynnwood WA 98036-4746 |
Practice Telephone | 4257112022 |
Mailing Telephone | 4257712022 |
Enumeration Date | 2008-02-13 |
Last Update Date | 2016-01-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
000009970 | WA | Dental Providers |
Street Address |
19020 33RD AVE W SUITE 200 |
City | LYNNWOOD |
State | WA |
Zip Code | 98036-4746 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902890700 | Elizabeth W Cotter | Radiology | 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4746 | 2005-09-07 |
1508314386 | Ariel J. Raigrodski, Dmd, Pllc | Clinic/Center | 19020 33rd Ave W, Suite 200, Lynnwood, WA 98036-4746 | 2016-09-21 |
1902220866 | Norman P. Goodwin | Dentist | 19020 33rd Ave W, Suite 200, Lynnwood, WA 98036 | 2014-02-13 |
1770896235 | Sarah Joy Menashe | Radiology | 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4748 | 2010-07-26 |
1780903773 | Hannu Tapio Huhdanpaa | Radiology | 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4746 | 2010-05-31 |
1376868687 | David Ung Kim | Radiology | 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4746 | 2010-03-30 |
1891922316 | Monica Devi Agarwal | Radiology | 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4748 | 2009-06-11 |
1386888410 | Ronald F. Loch Jr. | Radiology | 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4746 | 2009-04-20 |
1689825135 | Somnath Jagannath Prabhu | Radiology | 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4746 | 2008-10-02 |
1508029943 | Brian Nicholas Dontchos | Radiology | 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4748 | 2008-07-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
Find all providers in zip 98036 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275184459 | Pi-yu Hsu | Dentist | 509 Olive Way Ste 1043, Seattle, WA 98101-1724 | 2019-09-27 |
1295383925 | K Miller Dds Ms Pllc | Dentist | 9800 Ne 120th Pl Ste C, Kirkland, WA 98034-4220 | 2019-08-27 |
1205394681 | Dana Buglione | Dentist | 1959 Ne Pacific St Hsb Room B-469, Seattle, WA 98195-0001 | 2019-03-05 |
1548779515 | Northwest Center for Prosthodontics | Dentist | 3425 Ensign Rd Ne Ste 210, Olympia, WA 98506-5063 | 2017-09-22 |
1275089872 | Timothy J. Butson Dmd, Msd, Pllc | Dentist | 600 University St Ste 819, Seattle, WA 98101-4117 | 2016-09-01 |
1659724102 | Will Eunku Chung II Dds Msd Pllc | Dentist | 509 Olive Way Ste 1416, Seattle, WA 98101-1749 | 2016-07-20 |
1609229699 | Albert Chung Dental Clinic | Dentist | 12715 Bel Red Rd Ste 201, Bellevue, WA 98005-2627 | 2016-07-14 |
1831558907 | Ellis Jardine, Dmd, Pllc | Dentist | 1401 Nw 1st St Ste 120, Battle Ground, WA 98604-4540 | 2016-02-18 |
1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
1649642638 | Northwest Implants and Sleep Dentistry | Dentist | 9911 N. Nevada Ave, Suite 120, Spokane, WA 99218-2500 | 2015-10-29 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.