Niecole Monisha Coder, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE61155879 Issued in WA

Practice address

1617 183Rd St SE Unit 2
Bothell, WA 98012-6812

Phone

(425) 368-0608

NPI assigned

Jun 15, 2021

Last updated

Jun 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lorin Peterson DDS

  • Dental Clinic/Center
  • Cle Elum, WA
  • NPI 1841745247
  NPD (past)
• Skibiel Hayre Berry, PLLC

  • Dentist
  • Mill Creek, WA
  • NPI 1265741656
  NPD (past)
• Wesley Johnson ,DDS,Inc.,PS

  dba Swiftwater Dental

  • Dental Clinic/Center
  • Cle Elum, WA
  • NPI 1144853094
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1013585025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 SUMMERSIDE DR",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989228615",
            "telephone_number": "206-660-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 183RD ST SE UNIT 2",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126812",
            "telephone_number": "425-368-0608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Harris Ave",
            "address_purpose": "LOCATION",
            "city": "Cle Elum",
            "state": "WA",
            "postal_code": "989221119",
            "country_code": "US",
            "telephone_number": "509-674-5153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CODER",
        "first_name": "NIECOLE",
        "middle_name": "MONISHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61155879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J Clark, LMT
• Roxanne Clemence, LMP, LMT
• Kathleen Patricia Clutter, M.A.
• Alice J Coad, ARNP
• Wendy Coard, MD
• Lucas Eugene Cohen
• Carin Colantes
• Wendy Franz Coleman
• Todd Collins, PT
• Gretchen Joan Colonius, OTR/L

• Dentist in Bothell, WA
• Providers in Bothell, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.