Active NPI
Jennifer Colbert, DDS
- General Practice Dentistry
- Seattle, WA
National Provider Identifier
1962889154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE60978389
- Practice address
- 11066 5TH Ave NE Ste 208
Seattle, WA 98125-6156 - Phone
- (206) 362-1516
- Fax
- (206) 362-0178
- NPI assigned
- Apr 27, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60978389 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karla Aylen, DDS, PS | General Practice | Current | Accepting new patients |
| Vina Lu DMD PLLC | General Practice | Current | Accepting new patients |
Locations
11066 5th Ave NE
Ste 208
Seattle, WA 98125
Phone (206) 362-1516
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE60978389 | WA | Primary |
Addresses
Primary practice location
11066 5TH Ave NE Ste 208
Seattle, WA 98125-6156
Mailing address
11066 5TH Ave NE Ste 208
Seattle, WA 98125-6156
Phone (206) 362-1516
NPI Registry JSON
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1962889154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11066 5TH AVE NE STE 208",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981256156",
"telephone_number": "206-362-1516",
"fax_number": "206-362-0178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11066 5TH AVE NE STE 208",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981256156",
"telephone_number": "206-362-1516",
"fax_number": "206-362-0178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBERT",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-27",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE60978389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.