Plateau Kids Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PLATEAU KIDS DENTISTRY, LLC

Doing business as

Plateau Dentistry for Children

Practice address

2912 228TH Ave SE Ste a
Sammamish, WA 98075-9305

Phone

(425) 394-1234

NPI assigned

Jul 5, 2020

Last updated

Jul 5, 2020By 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

Amelia Chim, DDSNPI 1003234899

Title

Owner Dentist

Phone

(206) 383-9338

Specialties & licenses 1

Addresses

Other names 1

• Plateau Dentistry for Children Doing business as

Locations

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.

• Amelia Chim

  • Pediatric Dentistry
  • Seattle, WA
  • NPI 1003234899
  NPD Authorized official
• Warren Y. Aka, DDS

  • Pediatric Dentistry
  • Sammamish, WA
  • NPI 1538193552
  NPD (past)

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

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593907200000",
    "number": "1740807890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12316 5TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 228TH AVE SE STE A",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980759305",
            "telephone_number": "425-394-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATEAU KIDS DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-05",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A",
        "authorized_official_last_name": "CHIM",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "206-383-9338",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plateau Dentistry for Children",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pine Lake Chiropractic Clinic Inc
• Pine Lake Pharmacy LLC (Pine Lake Pharmacy)
• Pine Lake Physical Therapy & Sports Rehab, P.S.
• Plateau Chiropractic Clinic
• Plateau Foot and Ankle Clinic PLLC
• David Y Pong, MD
• John Postlewaite, L.M.P.
• Subhadra Ayyala Pratiwadi
• Precision Chiropractic. PS
• Patricia Rae Pringle

• Pediatric Dentistry in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2020; 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.