Individual provider Active NPI

Princeton L Co, D.D.S.

  • General Practice Dentistry
  • Shoreline, WA
National Provider Identifier
1932249208
Registry record updated Mar 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00007140 Issued in WA
Practice address
19929 Ballinger Way NE, Suite #100
Shoreline, WA 98155-1257
Phone
(206) 440-0065
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00007140 WA Primary

Addresses

Primary practice location

19929 Ballinger Way NE, Suite #100
Shoreline, WA 98155-1257

Mailing address

19929 Ballinger Way NE, Suite #100
Shoreline, WA 98155-1257
Phone (206) 440-0065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160106001714 WA Order and Referring Only - DentistPractitioner - Dentist 5496057572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE00007140WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton L. Co, DDS, PLLC Current Accepting new patients

Locations

19929 Ballinger Way NE
Ste 100
Shoreline, WA 98155
Phone (206) 440-0065

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774051200000",
    "number": "1932249208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19929 BALLINGER WAY NE, SUITE #100",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551257",
            "telephone_number": "206-440-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19929 BALLINGER WAY NE, SUITE #100",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551257",
            "telephone_number": "206-440-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CO",
        "first_name": "PRINCETON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

Verify at the official NPI Registry.