Active NPI
Christopher James Coke, DDS
- Dentist
- Puyallup, WA
National Provider Identifier
1821777517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE61453362
- Practice address
- 12005 Meridian E Ste 102
Puyallup, WA 98373-3423 - Phone
- (253) 214-9293
- NPI assigned
- Jul 12, 2023
- Last updated
- Apr 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | DE61453362 | WA | Primary |
Addresses
Primary practice location
12005 Meridian E Ste 102
Puyallup, WA 98373-3423
Mailing address
12005 Meridian E Ste 102
Puyallup, WA 98373-3423
Phone (253) 214-9293
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 |
|---|---|---|---|
| DE61453362 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Dental Corporation, PC | Dentist | Current | Accepting new patients |
Locations
12005 Meridian E
#102
Puyallup, WA 98373
Phone (253) 214-9293
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1821777517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12005 MERIDIAN E STE 102",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983733423",
"telephone_number": "253-214-9293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12005 MERIDIAN E STE 102",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983733423",
"telephone_number": "253-214-9293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COKE",
"first_name": "CHRISTOPHER",
"middle_name": "JAMES",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-12",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE61453362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.