1497393623 NPI number — VERONICA TORO-OBREGON DMD MSD PLLC

Table of content: DR. BIJU MATTHEW KATTAPURAM MD (NPI 1417981747)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497393623 NPI number — VERONICA TORO-OBREGON DMD MSD PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VERONICA TORO-OBREGON DMD MSD PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
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Provider Other Name Prefix Text:
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Provider Other Credential Text:
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NPI Number Information

NPI Number:
1497393623
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/18/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13327 NE 205TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOODINVILLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98072-5522
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18550 FIRLANDS WAY N STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHORELINE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98133-3984
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-542-6188
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/18/2019

Additional Information

Authorized Official

Authorized Official Last Name:
TORO-OBREGON
Authorized Official First Name:
VERONICA
Authorized Official Middle Name:
Authorized Official Title or Position:
ORTHODONTIST
Authorized Official Telephone Number:
787-462-2889

Provider Taxonomy Codes

  • Taxonomy code: 1223X0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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