Paul Allen Chilton, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00006348 Issued in WA

Practice address

19703 1St Ave S
Normandy Park, WA 98148-2401

Phone

(206) 824-4700

Fax

(206) 824-0410

NPI assigned

Jan 5, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780731083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19703 1ST AVE S",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482401",
            "telephone_number": "206-824-4700",
            "fax_number": "206-824-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19703 1ST AVE S",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482401",
            "telephone_number": "206-824-4700",
            "fax_number": "206-824-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILTON",
        "first_name": "PAUL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Marvin Bucy, D.D.S.
• Brian Macleod Carey, D.D.S.
• Amy Elizabeth Castillo, LMP
• Dafna Chen, LMHC, CDP
• Sommer Rey Chetty, LMP
• Bean Choi, ND, EAMP
• Jacqueline Donna Chun, DPT
• Kelly R Colello, LMP
• Shawna Rose Costello, LMT
• Daryll G. Marshall-Inman DC Inc.

• General Practice Dentistry in Normandy Park, WA
• Providers in Normandy Park, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.