Amy Alejandra Cobos

Primary specialty

DentistTaxonomy code 122300000X

License

DE61149408 Issued in WA

Practice address

2326 5TH Ave
Seattle, WA 98121-1863

Phone

(206) 494-9050

NPI assigned

Feb 19, 2020

Last updated

Aug 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Washington Dental Corporation, PC

  dba Belltown Modern Dentistry

  • Dentist
  • Seattle, WA
  • NPI 1154862761
  NPD (past)

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1497388300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LONG ISLAND JEWISH MEDICAL CENTER",
            "address_2": "270-05 76TH AVENUE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 5TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211863",
            "telephone_number": "206-494-9050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Long Island Jewish Medical Center",
            "address_2": "270-05 76th Avenue",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "11040",
            "country_code": "US",
            "telephone_number": "718-470-3076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBOS",
        "first_name": "AMY",
        "middle_name": "ALEJANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61149408",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Stringfellow Cobbs, M.D.
• Tom L Cobian, LMP
• Abigail Louise Coble, LAC
• Tinsley Coble, MD
• Julene Rene Coblentz, LMP
• Monti Lyn Coburn, AAC
• Reegis Preston Coburn
• Mysti Cal Coccia-Eddy, M.A., LMHC
• Kaysha Marie Coccia, MSSA
• Rachael Coccia, LMHCA

• 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 Aug 20, 2021; 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.