Active NPI
Gregory Park Chinn, D.D.S.
- Dentist
- Seattle, WA
National Provider Identifier
1235114943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00010426
- Practice address
- 7311 39TH Ave SW
Seattle, WA 98136-2102 - Phone
- (206) 290-7288
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE00010426 | WA | Primary |
Addresses
Primary practice location
7311 39TH Ave SW
Seattle, WA 98136-2102
Mailing address
7311 39TH Ave SW
Seattle, WA 98136-2102
Phone (206) 290-7288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150518001459 | WA | Order and Referring Only - Oral Surgery | 1254651102 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1235114943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7311 39TH AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981362102",
"telephone_number": "206-290-7288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7311 39TH AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981362102",
"telephone_number": "206-290-7288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINN",
"first_name": "GREGORY",
"middle_name": "PARK",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00010426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.