Active NPI
Cynthia Alegre PS
- Pediatric Dentistry
- Renton, WA
National Provider Identifier
1962056176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- CYNTHIA ALEGRE PS
- Practice address
- 15301 Maple Valley Hwy Ste 100
Renton, WA 98058-8128 - Phone
- (425) 523-4179
- Fax
- (425) 529-9686
- NPI assigned
- Jul 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia Alegre
- Title
- Owner/Pediatric Dentist
- Phone
- (425) 523-4179
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
15301 Maple Valley Hwy Ste 100
Renton, WA 98058-8128
Mailing address
15301 Maple Valley Hwy Ste 100
Renton, WA 98058-8128
Phone (425) 523-4179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20160208344792 | Medicaid | WA |
Other names 1
- Renton Kids Dentistry
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@rentonkidsdentistry.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Renton, WA
- NPI 1386720993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564012800000",
"number": "1962056176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15301 MAPLE VALLEY HWY STE 100",
"city": "RENTON",
"state": "WA",
"postal_code": "980588128",
"telephone_number": "425-523-4179",
"fax_number": "425-529-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15301 MAPLE VALLEY HWY STE 100",
"city": "RENTON",
"state": "WA",
"postal_code": "980588128",
"telephone_number": "425-523-4179",
"fax_number": "425-529-9686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYNTHIA ALEGRE PS",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-25",
"last_updated": "2019-07-25",
"status": "A",
"authorized_official_last_name": "ALEGRE",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
"authorized_official_telephone_number": "425-523-4179"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20160208344792",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "info@rentonkidsdentistry.com",
"affiliation": "N",
"address_1": "15301 Maple Valley Hwy Ste 100",
"city": "Renton",
"state": "WA",
"country_code": "US",
"postal_code": "980588128",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Renton Kids Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.