NPIMap

Organization Active NPI

Evyenia Kollia DMD PLLC

  • Dentist
  • Seattle, WA
National Provider Identifier
1861656209
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00010405 Issued in WA
Legal business name
EVYENIA KOLLIA DMD PLLC
Practice address
2701 Eastlake Ave E # 104
Seattle, WA 98102-3104
Phone
(206) 588-0714
Fax
(206) 588-0716
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Evyenia Kollia, DMDNPI 1114133204
Title
President
Phone
(206) 743-5750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE00010405 WA Primary

Addresses

Primary practice location

2701 Eastlake Ave E # 104
Seattle, WA 98102-3104

Mailing address

2701 Eastlake Ave E # 104
Seattle, WA 98102-3104
Phone (206) 588-0714

National Provider Directory

National Provider Directory

Locations

2701 Eastlake Ave E
Ste 104
Seattle, WA 98102
Phone (206) 588-0714

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1861656209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 EASTLAKE AVE E # 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023104",
            "telephone_number": "206-588-0714",
            "fax_number": "206-588-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 EASTLAKE AVE E # 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023104",
            "telephone_number": "206-588-0714",
            "fax_number": "206-588-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVYENIA KOLLIA DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "KOLLIA",
        "authorized_official_first_name": "EVYENIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-743-5750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.