Coal Creek Dentistry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COAL CREEK DENTISTRY

Practice address

6920 Coal Creek Pkwy SE Ste 14
Newcastle, WA 98059-3147

Phone

(425) 641-4304

Fax

(425) 653-0979

NPI assigned

Oct 26, 2016

Last updated

Oct 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Chiu, DDSNPI 1043349475

Title

Owner

Phone

(425) 641-4304

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter C Chiu, DDS

  • General Practice Dentistry
  • Newcastle, WA
  • NPI 1043349475
  NPD (past) Authorized official

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1902358815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 COAL CREEK PKWY SE STE 14",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593147",
            "telephone_number": "425-641-4304",
            "fax_number": "425-653-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 COAL CREEK PKWY SE STE 14",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593147",
            "telephone_number": "425-641-4304",
            "fax_number": "425-653-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAL CREEK DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-641-4304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter C Chiu, DDS
• John J Cho
• Antonio Clyburn Sr., MT
• Shane Christopher Clyburn, LMP
• Coal Creek Dentistry
• Coal Creek Family Vision, PLLC
• Jesus O Dela Torre Hernandez, LMP
• Jauna Rae Demott, LMP
• Aditi Dhar, M.D
• David Asher Drimmer, MD

• Dentist in Newcastle, WA
• Providers in Newcastle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.