Organization Active NPI

Chad Smart DDS and Vincent O Kokich Jr DMD MSD PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Renton, WA
National Provider Identifier
1205743291
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CHAD SMART DDS AND VINCENT O KOKICH JR DMD MSD PLLC
Practice address
3900 E Valley Rd Ste 105
Renton, WA 98057-4954
Phone
(206) 575-1515
Fax
(253) 752-6392
NPI assigned
Aug 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Roseanne Anthony
Title
HR/Financial Manager
Phone
(253) 752-3949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

3900 E Valley Rd Ste 105
Renton, WA 98057-4954

Mailing address

3900 E Valley Rd Ste 105
Renton, WA 98057-4954
Phone (206) 575-1515

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1205743291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 E VALLEY RD STE 105",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574954",
            "telephone_number": "206-575-1515",
            "fax_number": "253-752-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 E VALLEY RD STE 105",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574954",
            "telephone_number": "206-575-1515",
            "fax_number": "253-752-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD SMART DDS AND VINCENT O KOKICH JR DMD MSD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "ROSEANNE",
        "authorized_official_title_or_position": "HR/FINANCIAL MANAGER",
        "authorized_official_telephone_number": "253-752-3949"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "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 Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.