NPIMap

Organization Active NPI

Key Center Family Dentistry PLLC

  • Dentist
  • Lakebay, WA
National Provider Identifier
1558890319
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60369651 Issued in WA
Legal business name
KEY CENTER FAMILY DENTISTRY PLLC
Practice address
9013 Key Peninsula Hwy N
Lakebay, WA 98349-8518
Phone
(253) 884-9455
NPI assigned
Jun 6, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Matthew Joel Cozby, DDSNPI 1528218583
Title
Owner
Phone
(253) 884-9455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60369651 WA Primary

Addresses

Primary practice location

9013 Key Peninsula Hwy N
Lakebay, WA 98349-8518

Mailing address

9013 Key Peninsula Hwy N
Lakebay, WA 98349-8518
Phone (253) 884-9455

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558890319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9013 KEY PENINSULA HWY N",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983498518",
            "telephone_number": "253-884-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9013 KEY PENINSULA HWY N",
            "city": "LAKEBAY",
            "state": "WA",
            "postal_code": "983498518",
            "telephone_number": "253-884-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY CENTER FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COZBY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-884-9455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60369651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakebay, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.