Justin Courtney, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010735 Issued in WA

Practice address

280 Hardie Ave SW Ste 3
Renton, WA 98057-5900

Phone

(425) 430-0400

Fax

(425) 430-1410

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Justin C Courtney DDS PLLC

  • Dental Clinic/Center
  • Kent, WA
  • NPI 1770230880
  NPD Authorized official
• Justin Courtney DDS PS

  • Dentist
  • Renton, WA
  • NPI 1033480108
  NPD Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821143819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 HARDIE AVE SW",
            "address_2": "SUITE 3",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98057",
            "telephone_number": "425-430-0400",
            "fax_number": "425-430-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 HARDIE AVE SW STE 3",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575900",
            "telephone_number": "425-430-0400",
            "fax_number": "425-430-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britan Cosand, OT
• Linda Ann Costarella, ND
• Selina Cotton
• Laura C Coukos, LMP
• Laurie Cour, MA, CCC, SLP
• Sydney Louis Cousin Jr., MD
• Claudia Jimena Covelli Velez
• Sandra Louise Covey, P.T.A.
• Covington Pharmacy (Cornell's Valley Pharmacy Homecare)
• Emily Rose Cowin

• General Practice Dentistry in Renton, WA
• Providers in Renton, 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 21, 2022; 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.