College Place Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE00008527 Issued in WA

Legal business name

COLLEGE PLACE ORTHODONTICS LLC

Practice address

19720 68TH Ave W
Suite E
Lynnwood, WA 98036

Phone

(425) 670-2033

Fax

(425) 670-2303

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jean J Xu, DDS MS

Title

Member

Phone

(425) 670-2033

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043321441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19720 68TH AVE W",
            "address_2": "SUITE E",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98036",
            "telephone_number": "425-670-2033",
            "fax_number": "425-670-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19720 68TH AVE W",
            "address_2": "SUITE E",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98036",
            "telephone_number": "425-670-2033",
            "fax_number": "425-670-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE PLACE ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-670-2033",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00008527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseanna Colabella
• Annelise Marie Colburn
• Joshua Roland Cole, DPT
• Mary Patricia Cole
• Terry Lavalle Coleman, LMHC
• David Christopher Collier, ARNP, FNP-BC
• Kaela Collins
• Lauren Collins, MSW
• Kimberly 'Kimmer' Verlynn Collison-Ris, MSN, ARNP, WOCN
• Alexandra Comer

• Orthodontics and Dentofacial Orthopedics Dentistry in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• 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.