Organization Active NPI

Comfy Denture & Hearing Service Corp

  • Denturist
  • Bonney Lake, WA
National Provider Identifier
1174066484
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
DN60300984 Issued in WA
Legal business name
COMFY DENTURE & HEARING SERVICE CORP
Practice address
18802 Mountain View Dr E
Bonney Lake, WA 98391-7110
Phone
(253) 886-0855
Fax
(253) 941-3896
NPI assigned
Nov 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Mr. Minseok Kim, DD,LD.
Title
President
Phone
(253) 886-0855

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193200000X MULTI-SPECIALTY GROUP 122400000X DN60300984 WA Primary
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X HA60239129 WA

Addresses

Primary practice location

18802 Mountain View Dr E
Bonney Lake, WA 98391-7110

Mailing address

16014 24TH St E
Lake Tapps, WA 98391-4908
Phone (253) 886-0855

Other names 1

  • comfy Denture & Hearing Clinic Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1174066484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16014 24TH ST E",
            "city": "LAKE TAPPS",
            "state": "WA",
            "postal_code": "983914908",
            "telephone_number": "253-886-0855",
            "fax_number": "253-941-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18802 MOUNTAIN VIEW DR E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917110",
            "telephone_number": "253-886-0855",
            "fax_number": "253-941-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFY DENTURE & HEARING SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MINSEOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-886-0855",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DD,LD."
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN60300984",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA60239129",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "comfy Denture & Hearing Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.