Organization Active NPI

Cynthia Alegre PS

  • Pediatric Dentistry
  • Renton, WA
National Provider Identifier
1962056176
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Cynthia AlegreNPI 1386720993
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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
20160208344792MedicaidWA

Other names 1

  • Renton Kids Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@rentonkidsdentistry.com

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": "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.

Verify at the official NPI Registry.