Active NPI
Colton J Feider, DDS
- General Practice Dentistry
- Renton, WA
National Provider Identifier
1144933623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE61304615
- Practice address
- 14410 SE Petrovitsky Rd Ste 113
Renton, WA 98058-8900 - Phone
- (425) 271-7725
- NPI assigned
- Dec 29, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE61304615 | WA | Primary |
Addresses
Primary practice location
14410 SE Petrovitsky Rd Ste 113
Renton, WA 98058-8900
Mailing address
14410 SE Petrovitsky Rd Ste 113
Renton, WA 98058-8900
Phone (253) 256-3164
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE61304615 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1144933623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14410 SE PETROVITSKY RD STE 113",
"city": "RENTON",
"state": "WA",
"postal_code": "980588900",
"telephone_number": "253-256-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14410 SE PETROVITSKY RD STE 113",
"city": "RENTON",
"state": "WA",
"postal_code": "980588900",
"telephone_number": "425-271-7725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEIDER",
"first_name": "COLTON",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-29",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE61304615",
"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 May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.