Active NPI
Charles Roemer Ingle, DDS
- Dentist
- Renton, WA
National Provider Identifier
1699883660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4338
- Practice address
- 14300 SE Petrovitsky Rd
Renton, WA 98058-8955 - Phone
- (425) 226-2348
- Fax
- (425) 226-2188
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4338 | WA | Primary |
Addresses
Primary practice location
14300 SE Petrovitsky Rd
Renton, WA 98058-8955
Mailing address
12610 SE 282ND St
Kent, WA 98030
Phone (253) 630-5370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4338 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699883660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12610 SE 282ND ST",
"city": "KENT",
"state": "WA",
"postal_code": "98030",
"telephone_number": "253-630-5370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14300 SE PETROVITSKY RD",
"city": "RENTON",
"state": "WA",
"postal_code": "980588955",
"telephone_number": "425-226-2348",
"fax_number": "425-226-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGLE",
"first_name": "CHARLES",
"middle_name": "ROEMER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "4338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.