Active NPI
Beleza PC
- Otolaryngology/Facial Plastic Surgery Physician
- Renton, WA
National Provider Identifier
1962430637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- Legal business name
- BELEZA PC
- Practice address
- 1412 SW 43Rd St
#110
Renton, WA 98057-4803 - Phone
- (425) 227-4000
- NPI assigned
- Jun 29, 2006
- 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
- Bianca Canda
- Title
- Practice Administrator
- Phone
- (425) 227-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | Primary |
Addresses
Primary practice location
1412 SW 43Rd St
#110
Renton, WA 98057-4803
Mailing address
1412 SW 43Rd St
#110
Renton, WA 98057-4803
Phone (425) 227-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7105943 | Medicaid | WA |
Other names 1
- Northwest Head and Neck Surgery
National Provider Directory
National Provider DirectoryLocations
401 S 43rd St
Ste 220
Renton, WA 98055
Phone (206) 575-2576
3915 Talbot Rd S
#310
Renton, WA 98055
Phone (405) 227-4000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Burien, WA
- NPI 1386674802
Otolaryngology/Facial Plastic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201737600000",
"number": "1962430637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 SW 43RD ST",
"address_2": "#110",
"city": "RENTON",
"state": "WA",
"postal_code": "980574803",
"telephone_number": "425-227-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 SW 43RD ST",
"address_2": "#110",
"city": "RENTON",
"state": "WA",
"postal_code": "980574803",
"telephone_number": "425-227-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELEZA PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2008-01-31",
"status": "A",
"authorized_official_last_name": "CANDA",
"authorized_official_first_name": "BIANCA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "425-227-4000"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7105943",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Northwest Head and Neck Surgery",
"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 Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.