Organization Active NPI

Colin P. del Rosario, DDS, PS

  • Dental Clinic/Center
  • Kirkland, WA
National Provider Identifier
1245404367
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00009384 Issued in WA
Legal business name
COLIN P. DEL ROSARIO, DDS, PS
Practice address
11250 Kirkland Way
Suite 102
Kirkland, WA 98033-3421
Phone
(425) 739-9093
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Colin P Del Rosario, DDS
Title
Owner/President
Phone
(425) 739-9093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE00009384 WA Primary

Addresses

Primary practice location

11250 Kirkland Way
Suite 102
Kirkland, WA 98033-3421

Mailing address

11250 Kirkland Way
Suite 102
Kirkland, WA 98033-3421
Phone (425) 739-9093

Other identifiers 1

IdentifierTypeStateIssuer
5043096MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1245404367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11250 KIRKLAND WAY",
            "address_2": "SUITE 102",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980333421",
            "telephone_number": "425-739-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 KIRKLAND WAY",
            "address_2": "SUITE 102",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980333421",
            "telephone_number": "425-739-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLIN P. DEL ROSARIO, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "DEL ROSARIO",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "425-739-9093",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00009384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5043096",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.