Individual provider Active NPI

Courtenay Coogan Allen, DDS MSD

  • Endodontics
  • Seattle, WA
National Provider Identifier
1508889015
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DE00007311 Issued in WA
Practice address
3216 NE 45TH PL
Suite 202
Seattle, WA 98105-4093
Phone
(206) 523-7229
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DE00007311 WA Primary

Addresses

Primary practice location

3216 NE 45TH PL
Suite 202
Seattle, WA 98105-4093

Mailing address

3216 NE 45TH PL
Suite 202
Seattle, WA 98105-4028
Phone (206) 523-7229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE00007311WAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
U Village Endodontics PLLC Endodontics Current Accepting new patients

Locations

3216 NE 45th Pl
Ste 202
Seattle, WA 98105
Phone (206) 523-7229

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508889015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 NE 45TH PL",
            "address_2": "SUITE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054028",
            "telephone_number": "206-523-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 NE 45TH PL",
            "address_2": "SUITE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054093",
            "telephone_number": "206-523-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "COURTENAY",
        "middle_name": "COOGAN",
        "name_prefix": "Dr.",
        "credential": "DDS MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE00007311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.