Kari D Chellis RDH DDS PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00006850 Issued in WA

Legal business name

KARI D CHELLIS RDH DDS PS

Doing business as

Smile Secrets

Practice address

4700 42ND Ave SW
Ste 555
Seattle, WA 98116-4591

Phone

(206) 935-5522

Fax

(206) 932-4577

NPI assigned

Jun 5, 2015

Last updated

Jun 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen D Chellis, DDS

Title

Owner

Phone

(206) 935-5522

Specialties & licenses 1

Addresses

Other names 1

• SMILE SECRETS Doing business as

Practitioners 2

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.

• Kari Dianne Chellis, DDS

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1295755957
  NPD (past)
• Peter B Iversen Jr., D.D.S.

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1386935567
  NPD (past)

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1619357514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 42ND AVE SW",
            "address_2": "STE 555",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164591",
            "telephone_number": "206-935-5522",
            "fax_number": "206-932-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 42ND AVE SW",
            "address_2": "STE 555",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164591",
            "telephone_number": "206-935-5522",
            "fax_number": "206-932-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARI D CHELLIS RDH DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "CHELLIS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-935-5522",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILE SECRETS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Pavlidis LLC
• Karen Pavlidis PLLC (Child and Teen Solutions)
• Karen Weisbard, PSYD, P.S. Inc
• William Kareta, MA
• Brittani Laine Karhoff, LMT
• Karim Mourad
• Farah Karim
• Maryam Karim
• Ghazal Karimi Assil
• Melisa Kariuki

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.