Cousin & Riolo DDS PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

COUSIN & RIOLO DDS PLLC

Doing business as

Bellevue Orthodontics and Smile Design

Practice address

1515 116TH Ave NE, Suite 105
Bellevue, WA 98004

Phone

(425) 382-7559

NPI assigned

Jul 2, 2021

Organization subpart

No

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

Authorized official

Name

Mr. George B Bridgforth

Title

Administrator

Phone

(206) 355-3395

Specialties & licenses 1

Addresses

Other names 1

• Bellevue Orthodontics and Smile Design Doing business as

Locations

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1598336380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 116TH AVE NE, SUITE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-382-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 116TH AVE NE, SUITE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-382-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUSIN & RIOLO DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "BRIDGFORTH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "206-355-3395",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Orthodontics and Smile Design",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellevue Orthodontics and Smile Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John A Costello, MD
• Katherine Costello
• Anne Coughlin, PH.D.
• Robyn E Coughlin, MSW, LCSW
• Counseling Center for Chinese
• Jacques Jean-Paul Couturier
• Jolea Coverdale, BS CDP
• Rebekah K Coverston, MSW, MSFP
• Sallie J Cowgill, PT
• Krystal Cox

• Orthodontics and Dentofacial Orthopedics Dentistry in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.