Jose Luis Cordoba, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE61321055 Issued in WA

Practice address

1200 12TH Ave S Ste 401
Seattle, WA 98144-2730

Phone

(206) 548-5850

NPI assigned

Jun 26, 2022

Last updated

Oct 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jose Luis Cordoba Zuniga Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neighborcare Health

  dba Neighborcare Health - School Based Dental

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1104161496
  NPD
• Neighborcare Health

  dba Neighborcare Health at Pacific Tower Dental

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1982052874

  Dentist

  NPD
• Dr. Seongwon Choi PLLC.

  • Endodontics
  • Marysville, WA
  • NPI 1407774490
  NPD (past)
• Washington Dental Corporation, PC

  dba Smokey Point Smiles Dentistry

  • Dentist
  • Marysville, WA
  • NPI 1790141828
  NPD (past)

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

{
    "created_epoch": "1656201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1285366674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE S STE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442712",
            "telephone_number": "206-548-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE S STE 401",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442730",
            "telephone_number": "206-548-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17103 28th Dr NE Ste 104",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982714830",
            "country_code": "US",
            "telephone_number": "360-208-0492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDOBA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-26",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61321055",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61321055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "CORDOBA ZUNIGA",
            "middle_name": "LUIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christine Ruth Cordell, RN
• Daniella Cordero
• Kourtney Cordes, RD
• Mark Alan Cordes, M.D.
• Clare Cordier, RN
• Danielle Aviva Cordon, LMP
• Cecilia J Cordova, CNM, RN, ARNP
• Marc Cordova, M.D.
• Regina R Cordova, PHARMACY TECHNICIAN
• Caylin Cordray

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.