Organization Active NPI

Rosanne P. Coluccio,D.D.S.,PS

  • Dental Clinic/Center
  • Kirkland, WA
National Provider Identifier
1972840718
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE00010054 Issued in WA
Legal business name
ROSANNE P. COLUCCIO,D.D.S.,PS
Practice address
9800 NE 120TH PL
Kirkland, WA 98034-4220
Phone
(425) 823-4100
Fax
(425) 820-4699
NPI assigned
Jan 14, 2013
Organization subpart
Yes
Parent organization
ROSANNE P. COLUCCIO D.D.S.,PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Dr. Rosanne Patrice Coluccio, DDS
Title
General Dentist
Phone
(425) 823-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE00010054 WA Primary

Addresses

Primary practice location

9800 NE 120TH PL
Kirkland, WA 98034-4220

Mailing address

9800 NE 120TH PL
Kirkland, WA 98034-4220
Phone (425) 823-4100

National Provider Directory

National Provider Directory
Part of
Rosanne P Coluccioddsps

Locations

9800 NE 120th Pl
Kirkland, WA 98034
Phone (425) 823-2200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1972840718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 NE 120TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344220",
            "telephone_number": "425-823-4100",
            "fax_number": "425-820-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 NE 120TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344220",
            "telephone_number": "425-823-4100",
            "fax_number": "425-820-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSANNE P. COLUCCIO,D.D.S.,PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSANNE P. COLUCCIO D.D.S.,PS",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "COLUCCIO",
        "authorized_official_first_name": "ROSANNE",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "425-823-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00010054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.