KEVIN LEE DDS JOHANN TI DDS & MICHAEL HYODO DDS PLLC (NPI# 1881700920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881700920 |
| Entity Type | Organization |
| Organization Name | KEVIN LEE DDS JOHANN TI DDS & MICHAEL HYODO DDS PLLC |
| Other Organization Name | STANWOOD DENTAL CARE |
| Practice Address |
9612 270th St Nw 7c Stanwood WA 98292 |
| Practice Telephone | 3606291776 |
| Practice Fax Number | 3606290541 |
| Mailing Telephone | 3606291776 |
| Mailing Fax Number | 3606290541 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHANN M TI (PARTNER) |
| Authorized Official Telephone | 3606291776 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
6284 | WA | Ambulatory Health Care Facilities |
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
7741 | WA | Ambulatory Health Care Facilities |
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
9599 | WA | Ambulatory Health Care Facilities |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
8211 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Stanwood Dental Care | Doing Business As Name - Organization |
| Street Address |
9612 270TH ST NW 7C |
| City | STANWOOD |
| State | WA |
| Zip Code | 98292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960285 | Joe Bolewicz | Physical Therapist | 9612 270th St Nw, Stanwood, WA 98292-1906 | 2005-05-24 |
| 1295944767 | Gayle London Crediford | Contractor | 9612 270th St Nw, Stanwood, WA 98292-1906 | 2007-05-22 |
| 1679798508 | Shawn F Magelsen | Dentist | 9612 270th St Nw, Suite F, Stanwood, WA 98292-1906 | 2007-04-16 |
| 1922097997 | Jacqueline Ann Odell | Physical Therapist | 9612 270th St Nw, Stanwood, WA 98292-1906 | 2005-10-20 |
| 1295735447 | Daniel J Day | Physical Therapist | 9612 270th St Nw, Stanwood, WA 98292-1906 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265952303 | Sabrina Ashley Barrera | Massage Therapist | 7202 267th St Nw Ste 104b, Stanwood, WA 98292 | 2017-06-20 |
| 1104355155 | Richard Lee Harman | Ophthalmology | 10101 270th St. Nw, #195, Stanwood, WA 98292 | 2017-06-05 |
| 1629472428 | Melisa Donnelly | Speech-Language Pathologist | 9901 272nd Place Nw, Stanwood, WA 98292 | 2014-10-22 |
| 1790194512 | Rachelle Eve Hamaker | Massage Therapist | 9806 270th St. N.w. #c, Stanwood, WA 98292 | 2014-08-06 |
| 1255693909 | Gary Rhett Andelin | Emergency Medicine | 9631 - 269th Street Nw, Stanwood, WA 98292 | 2012-06-08 |
| 1285927160 | Rachael Anne Davis | Massage Therapist | 9009 271 Street Nw, Stanwood, WA 98292 | 2011-05-25 |
| 1295024610 | Linda K Ricks | Massage Therapist | 2522 256th St Nw, Stanwood, WA 98292 | 2011-04-06 |
| 1760789747 | Suzann Lorene Oakes | Physical Therapist | 20420 Marine Dr., Stanwood, WA 98292 | 2011-02-28 |
| 1588965735 | Elizabeth Ann Burr | Counselor | 23306 Marine Dr., Stanwood, WA 98292 | 2010-11-04 |
| 1780984898 | Jennifer Paige Hoorn | Physical Therapy Assistant | 20420 Marine Drive, Stanwood, WA 98292 | 2010-10-25 |
| Find all providers in zip 98292 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700671 | K.lee, Dds, Pllc. | Clinic/Center | 20709 Mountain Hwy E # 102, Spanaway, WA 98387-8580 | 2020-11-06 |
| 1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
| 1356942684 | Healthy Smiles Northwest | Clinic/Center | 11808 18th St Se, Lake Stevens, WA 98258-2046 | 2020-11-03 |
| 1306446240 | Christine A Woodward, Dds, Pllc | Clinic/Center | 45860 Main St, Concrete, WA 98237 | 2020-10-29 |
| 1215535695 | Ellingsen Henneberg Pllc | Clinic/Center | 2607 S Southeast Blvd Ste B210, Spokane, WA 99223-7614 | 2020-10-16 |
| 1174121792 | Evolve Dental LLC | Clinic/Center | 4410 194th St Sw Ste A, Lynnwood, WA 98036-5598 | 2020-10-15 |
| 1326646035 | Natasha Habib Dds Ps | Clinic/Center | 1025 153rd St Se Ste 103, Mill Creek, WA 98012-4051 | 2020-10-14 |
| 1386241636 | Mellissa Ilgen, Dds, Pllc | Clinic/Center | 26114 Illinois Ave Ne, Kingston, WA 98346-7674 | 2020-10-08 |
| 1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
| 1164039731 | Consolidated Dental Three | Clinic/Center | 19221 108th Ave Se Ste 2, Renton, WA 98055-7369 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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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.