Active NPI
Comfy Denture & Hearing Service Corp
- Denturist
- Bonney Lake, WA
National Provider Identifier
1174066484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DN60300984
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | DN60300984 | WA | Primary |
| Hearing Instrument Specialist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hearing Instrument Specialist
- Bonney Lake, WA
- NPI 1447792767
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.