North Creek Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6865 Issued in WA

Legal business name

NORTH CREEK DENTAL CARE

Practice address

12806 3Rd Ave SE
Everett, WA 98208-6455

Phone

(425) 338-0666

Fax

(425) 337-6570

NPI assigned

Aug 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Donald Andrew Koontz, DDSNPI 1548356918

Title

Owner

Phone

(425) 338-0666

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald A Koontz, D.D.S.

  • Dentist
  • Everett, WA
  • NPI 1548356918
  NPD (past) Authorized official
• Nicholas James Conley, D.D.S.

  • Dentist
  • Everett, WA
  • NPI 1588113336
  NPD (past)

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1669926515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12806 3RD AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086455",
            "telephone_number": "425-338-0666",
            "fax_number": "425-337-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12806 3RD AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086455",
            "telephone_number": "425-338-0666",
            "fax_number": "425-337-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CREEK DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "KOONTZ",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-338-0666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Norman
• Lyndsey M Norris-Collette, MSW, LICSWA
• Audrey Norris, REGISTERED NURSE
• Chancellor B Norris, DPT
• William D Norris, LMHC
• North Creek Medicine Inc P S
• North Creek Medicine Inc PS
• North Puget Sound Center for Sleep Disorders
• North Puget Sound Center for Sleep Disorders
• North Sound Assessment & Counseling Services

• General Practice Dentistry in Everett, WA
• Providers in Everett, 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 Aug 9, 2016; 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.