Michael A. Chiulli, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6389 Issued in WI

Practice address

555 S Renton Village PL
Triton Towers One, Suite 610
Renton, WA 98057

Phone

(262) 389-9995

NPI assigned

Jun 16, 2009

Last updated

Jun 4, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1639306822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S RENTON VILLAGE PL",
            "address_2": "TRITON TOWERS ONE, SUITE 610",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98057",
            "telephone_number": "262-389-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S RENTON VILLAGE PL",
            "address_2": "TRITON TOWERS ONE, SUITE 610",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98057",
            "telephone_number": "262-389-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIULLI",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60209786",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children First Pediatrics, PLLC
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• Isaac Daniel Chirino, PT, DPT
• Chiro One Wellness Center of Renton PLLC
• Kimberley Chiu, MD
• Agnieszka Chmielewska, LMFTA
• Alice Eunah Cho, SLP
• Michael Sungyun Cho, DDS
• Ryan W. Chodykin, DPT
• Ji-Eun Choe, DDS

• General Practice Dentistry in Renton, WA
• Providers in Renton, 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 4, 2013; 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.