Bellevue Laser and Cosmetic Center PS

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD000043597 Issued in WA

Legal business name

BELLEVUE LASER AND COSMETIC CENTER PS

Practice address

1200 112TH Ave NE Ste C240
Bellevue, WA 98004-3747

Phone

(425) 732-2677

Fax

(425) 457-7499

NPI assigned

Jul 17, 2013

Last updated

Sep 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane S Chiu, MDNPI 1699736843

Title

Owner/MD

Phone

(425) 732-2677

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane S Chiu, MD

  • Dermatology Physician
  • Bellevue, WA
  • NPI 1699736843
  Medicare reassignment Care Compare group NPD Authorized official
• Andrea Jones, PA

  • Physician Assistant
  • Bellevue, WA
  • NPI 1649413741
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1982045084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 112TH AVE NE STE C240",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043747",
            "telephone_number": "425-732-2677",
            "fax_number": "425-457-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 112TH AVE NE STE C240",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043747",
            "telephone_number": "425-732-2677",
            "fax_number": "425-457-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE LASER AND COSMETIC CENTER PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "425-732-2677",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD000043597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bellevue Hyperbarics,PLLC
• Bellevue Internal Medicine Associates PLLC
• Bellevue Interventional Spine Specialist PS (Bellevue Spine Specialist)
• Bellevue Interventional Spine Specialist PS (Bellevue Spine Specialist)
• Bellevue Kidney Specialists PLLC
• Bellevue Legacy Primary Care PLLC
• Bellevue Medical Center
• Bellevue Medical Imaging, PLLC
• Bellevue Neurology and Neuroscience PLLC
• Bellevue Neuromuscular Dentistry LLC

• Dermatology Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.