Organization Active NPI

Corina Marcus DDS PLLC

  • General Practice Dentistry
  • Mountlake Terrace, WA
National Provider Identifier
1932804259
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CORINA MARCUS DDS PLLC
Practice address
6100 219TH St SW Ste 530
Mountlake Terrace, WA 98043-6204
Phone
(425) 775-3446
NPI assigned
Apr 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Dr. Corina Marcus, DDSNPI 1710402003
Title
President
Phone
(206) 499-5230

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

6100 219TH St SW Ste 530
Mountlake Terrace, WA 98043-6204

Mailing address

1423 NE 190TH St
Shoreline, WA 98155-2227
Phone (206) 499-5230

Other names 1

  • Altitude Dental Doing business as

National Provider Directory

National Provider Directory

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": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1932804259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 NE 190TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981552227",
            "telephone_number": "206-499-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 219TH ST SW STE 530",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980436204",
            "telephone_number": "425-775-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORINA MARCUS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "CORINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-499-5230",
        "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": [
        {
            "organization_name": "Altitude Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.