NPIMap

Organization Active NPI

Charles R. Ingle DDS,PS

  • General Practice Dentistry
  • Renton, WA
National Provider Identifier
1144375247
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4358 Issued in WA
Legal business name
CHARLES R. INGLE DDS,PS
Practice address
14300 SE Petrovitsky Rd
Renton, WA 98058-8955
Phone
(425) 226-2348
NPI assigned
Jan 25, 2007
Last updated
Jul 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Charles Roemer Ingle, DDSNPI 1699883660
Title
Owner
Phone
(425) 226-2348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4358 WA Primary

Addresses

Primary practice location

14300 SE Petrovitsky Rd
Renton, WA 98058-8955

Mailing address

14300 SE Petrovitsky Rd
Renton, WA 98058-8955
Phone (425) 226-2348

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1144375247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 SE PETROVITSKY RD",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980588955",
            "telephone_number": "425-226-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 SE PETROVITSKY RD",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980588955",
            "telephone_number": "425-226-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R. INGLE DDS,PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "INGLE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROEMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-226-2348",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.