Evyenia Kollia, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE10405 Issued in WA

Practice address

2701 Eastlake Ave E # 104
Seattle, WA 98102-3104

Phone

(206) 588-0714

Fax

(206) 588-0716

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Evyenia Kollia DMD PLLC

  • Dentist
  • Seattle, WA
  • NPI 1861656209
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1114133204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 EASTLAKE AVE E # 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023104",
            "telephone_number": "206-588-0714",
            "fax_number": "206-588-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 EASTLAKE AVE E # 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023104",
            "telephone_number": "206-588-0714",
            "fax_number": "206-588-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLIA",
        "first_name": "EVYENIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE10405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DE10405",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ponchita Kollar
• Stephanie A Kollar, LMFT
• Jennifer Kollasch, MA COUNSELING
• Austin W Kollefrath, MD
• Martina Mary Koller, M.D.
• Peter Richard Kollros, MD
• Leah Kolman
• Sarah Elizabeth Kolnik, M.D.
• Orpheus Kolokythas, MD
• Vladimir N Kolomyza, PA-C

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.