Covington Comfort Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00008701 Issued in WA

Legal business name

COVINGTON COMFORT DENTISTRY

Practice address

22525 SE 64TH PL
Ste #170
Issaquah, WA 98027-5383

Phone

(425) 837-0711

NPI assigned

Jul 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Baptista Kwok, DDS

Title

Member

Phone

(425) 837-0711

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1215224498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17265 SE WAX RD",
            "address_2": "STE # 101",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980429124",
            "telephone_number": "253-639-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22525 SE 64TH PL",
            "address_2": "STE #170",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275383",
            "telephone_number": "425-837-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON COMFORT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "KWOK",
        "authorized_official_first_name": "BAPTISTA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-837-0711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.