NPIMap

Organization Active NPI

Michael J. Scoles DMD Renton LLC

  • Dentist
  • Renton, WA
National Provider Identifier
1437386208
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9010 Issued in WA
Legal business name
MICHAEL J. SCOLES DMD RENTON LLC
Practice address
300 Pelly Ave N
Renton, WA 98057-5700
Phone
(425) 228-6444
Fax
(425) 226-3602
NPI assigned
Jun 18, 2009
Last updated
Jun 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Dr. Micael J Scoles, D.M.D.
Title
Dentist
Phone
(425) 228-6444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9010 WA Primary

Addresses

Primary practice location

300 Pelly Ave N
Renton, WA 98057-5700

Mailing address

300 Pelly Ave N
Renton, WA 98057-5700
Phone (425) 228-6444

National Provider Directory

National Provider Directory

Locations

300 Pelly Ave N
Renton, WA 98057
Phone (425) 228-6444

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1437386208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PELLY AVE N",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575700",
            "telephone_number": "425-228-6444",
            "fax_number": "425-226-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PELLY AVE N",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575700",
            "telephone_number": "425-228-6444",
            "fax_number": "425-226-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. SCOLES DMD RENTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "SCOLES",
        "authorized_official_first_name": "MICAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-228-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "9010",
            "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 Jun 18, 2009; 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.