Christine DO, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60642134 Issued in WA

Practice address

16330 SE 256TH St
Covington, WA 98042-4233

Phone

(253) 246-7403

NPI assigned

May 25, 2016

Last updated

May 25, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1760830350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3957 MARS CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951213229",
            "telephone_number": "408-623-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16330 SE 256TH ST",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424233",
            "telephone_number": "253-246-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "CHRISTINE",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60642134",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60642134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen K Deveraux, LMP
• Dhaliwal and Dhaliwal DDS, PLLC
• Tanvir K Dhanoa, DPT
• Delia Diaz, BA, RBT, CBT
• Liam T Diesing, DPT
• Dang H DO, MD
• Huy DO, PHARM.D
• Edward Dobrzykowski, PT
• Teri Dodson, CCC-SLP
• Kayla Donovan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.