Cornerstone Dental Hygiene Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

DH60082963 Issued in WA

Legal business name

CORNERSTONE DENTAL HYGIENE SERVICES, LLC

Practice address

2505 NW Alpine Crest Way
Issaquah, WA 98027-5490

Phone

(206) 818-1418

NPI assigned

Aug 14, 2015

Organization subpart

No

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

Authorized official

Name

Kellie Kristine Whitcomb, R.D.H.NPI 1639545429

Title

Owner/Manager

Phone

(206) 818-1418

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kellie Whitcomb, R.D.H.

  • Dental Hygienist
  • Issaquah, WA
  • NPI 1639545429
  NPD (past) Authorized official

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1447626239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 NW ALPINE CREST WAY",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275490",
            "telephone_number": "206-818-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 NW ALPINE CREST WAY",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275490",
            "telephone_number": "206-818-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE DENTAL HYGIENE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "WHITCOMB",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "206-818-1418",
        "authorized_official_credential": "R.D.H."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "DH60082963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miles Jeremiah Cooper, PT, DPT
• Renee Michele Cooper, M.P.
• Valerie L. J. Cooper, PA-C
• Core Injury Management, PLLC
• Corina Morser License Massage Practitioner PLLC
• Kori Noelle Cossey, DO
• Costco Wholesale
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation

• Community/Behavioral Health Agency in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.