Donald a. Koontz DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DONALD A. KOONTZ DDS PLLC

Doing business as

North Creek Dental Care

Practice address

12812 3Rd Ave SE Ste B
Everett, WA 98208-6455

Phone

(425) 745-3766

NPI assigned

Nov 21, 2023

Last updated

Nov 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald A. Koontz, DDS

Title

Owner

Phone

(425) 745-3766

Specialties & licenses 1

Addresses

Other names 1

• North Creek Dental Care Doing business as

Locations

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1306611181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12812 3RD AVE SE STE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086455",
            "telephone_number": "425-745-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12812 3RD AVE SE STE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086455",
            "telephone_number": "425-745-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD A. KOONTZ DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "KOONTZ",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-745-3766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Creek Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fabrienne Doll, MA, LMFT, MHP, CMHS
• Dolores and Charles, Inc (Everett Treatment Services)
• Ipek Melissa Karaferya Dols, ARNP
• Jonathan Dominguez
• Rebecca Dominguez
• Brenda L Dondero, LICSW
• Dongho Kim DDS PLLC (Albright Family Dental)
• Hanna Donlic, MSW, LICSW
• Carla Fay Donohue, P.T.A
• Taisha Doo

• Dental Clinic/Center in Everett, WA
• Providers in Everett, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.