Organization Active NPI

Chloe Mirick DDS PLLC

  • General Practice Dentistry
  • Black Diamond, WA
National Provider Identifier
1871214239
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHLOE MIRICK DDS PLLC
Practice address
31213 3Rd Ave Ste TBD
Black Diamond, WA 98010-9718
Phone
(206) 200-7337
NPI assigned
Sep 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Dr. Chloe Marie Mirick, DDSNPI 1194338954
Title
Owner
Phone
(206) 200-7337

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

31213 3Rd Ave Ste TBD
Black Diamond, WA 98010-9718

Mailing address

31231 3Rd Ave Ste 100
Black Diamond, WA 98010-9802
Phone (360) 851-1288

National Provider Directory

National Provider Directory

Locations

31231 3rd Ave
Ste 100
Black Diamond, WA 98010
Phone (360) 851-1288

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": "1662336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1871214239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31231 3RD AVE STE 100",
            "city": "BLACK DIAMOND",
            "state": "WA",
            "postal_code": "980109802",
            "telephone_number": "360-851-1288",
            "fax_number": "360-851-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31213 3RD AVE STE TBD",
            "city": "BLACK DIAMOND",
            "state": "WA",
            "postal_code": "980109718",
            "telephone_number": "206-200-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHLOE MIRICK DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-05",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "MIRICK",
        "authorized_official_first_name": "CHLOE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-200-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Diamond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.