NPIMap

Individual provider Active NPI

Christopher Philip Nyte

  • Facial Plastic Surgery Physician
  • Maple Valley, WA
National Provider Identifier
1043324130
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
OP00001936 Issued in WA
Practice address
27539 Maple Valley Black Diamond Rd SE
Suite D101
Maple Valley, WA 98038-5155
Phone
(425) 413-6517
Fax
(425) 413-0218
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X OP00001936 WA Primary

Addresses

Primary practice location

27539 Maple Valley Black Diamond Rd SE
Suite D101
Maple Valley, WA 98038-5155

Mailing address

27539 Maple Valley Black Diamond Rd SE
Suited101
Maple Valley, WA 98038-5155
Phone (425) 413-6517

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cnyte526185@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP00001936WAMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Lutheran Charities Past Accepting new patients
Total Health Medical Institute LLC PastSince Oct 20, 2018 Accepting new patients
Saint Luke's Hospital of Trenton Past Accepting new patients
Seattle Ophthalmic Consultants PS Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1043324130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27539 MAPLE VALLEY BLACK DIAMOND RD SE",
            "address_2": "SUITED101",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385155",
            "telephone_number": "425-413-6517",
            "fax_number": "425-413-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27539 MAPLE VALLEY BLACK DIAMOND RD SE",
            "address_2": "SUITE D101",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385155",
            "telephone_number": "425-413-6517",
            "fax_number": "425-413-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYTE",
        "first_name": "CHRISTOPHER",
        "middle_name": "PHILIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "WA",
            "license": "OP00001936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cnyte526185@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "727 S Wahanna Rd Ste 230",
            "city": "Seaside",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971387735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.