Individual provider Active NPI

Christopher Maguire-Adams, DMD

  • Endodontics
  • Renton, WA
National Provider Identifier
1265861546
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DE60576809 Issued in WA
Practice address
601 S Carr Rd Ste 350
Renton, WA 98055-5854
Phone
(215) 990-9758
NPI assigned
Nov 6, 2013
Last updated
Sep 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS039620 PA
Endodontics 1223E0200X DE60576809 WA Primary

Addresses

Primary practice location

601 S Carr Rd Ste 350
Renton, WA 98055-5854

Mailing address

601 S Carr Rd Ste 350
Renton, WA 98055-5854
Phone (215) 990-9758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS039620PAMDDentist
DE60576809WAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1265861546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S CARR RD STE 350",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555854",
            "telephone_number": "215-990-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CARR RD STE 350",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555854",
            "telephone_number": "215-990-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUIRE-ADAMS",
        "first_name": "CHRISTOPHER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039620",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60576809",
            "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 Sep 1, 2015; 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.