NPIMap

Peter C Chiu, DDS

Individual provider Active NPI General Practice Dentistry · Newcastle, WA

NPI 1043349475 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1043349475
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
6410 (WA)
Practice address
6920 Coal Creek Pkwy SE Ste 14
Newcastle, WA 98059-3147
Phone
(425) 641-4304
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6410WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Coal Creek Dentistry General Practice Past Accepting new patients
Coal Creek Dentistry Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6410 WA Yes

Addresses

Primary practice location

6920 Coal Creek Pkwy SE Ste 14
Newcastle, WA 98059-3147

Mailing address

6920 Coal Creek Pkwy SE Ste 14
Newcastle, WA 98059-3147
Phone (425) 641-4304

Other providers in Newcastle, WA

All providers in Newcastle, WA · General Practice Dentistry in Washington

Sources for this page

Verify at the official NPI Registry.