Organization Active NPI

Chelsea D Mortell DMD PLLC

  • Dentist
  • Kirkland, WA
National Provider Identifier
1609244110
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60287180 Issued in WA
Legal business name
CHELSEA D MORTELL DMD PLLC
Practice address
13611 100TH Ave NE
Kirkland, WA 98034-5234
Phone
(425) 821-3388
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Authorized official

Name
Dr. Chelsea D'Nichole Mortell, DMD
Title
Dentist/Owner
Phone
(425) 821-3388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE60287180 WA Primary

Addresses

Primary practice location

13611 100TH Ave NE
Kirkland, WA 98034-5234

Mailing address

13611 100TH Ave NE
Kirkland, WA 98034-5234

Other names 1

  • Juanita Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1609244110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 100TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13611 100TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345234",
            "telephone_number": "425-821-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEA D MORTELL DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "MORTELL",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "D'NICHOLE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "425-821-3388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60287180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juanita Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

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