Implant & Periodontal Associates

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

IMPLANT & PERIODONTAL ASSOCIATES

Doing business as

Cohen & Gottlieb, DDS, PLLC

Practice address

5723 NE Bothell Way
Suite C
Kenmore, WA 98028-9404

Phone

(425) 486-9111

Fax

(425) 489-1923

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly J Klaudt

Title

Practice Administrator

Phone

(425) 486-9111

Specialties & licenses 1

Addresses

Other names 1

• Cohen & Gottlieb, DDS, PLLC Doing business as

Locations

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982727681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5723 NE BOTHELL WAY",
            "address_2": "SUITE C",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980289404",
            "telephone_number": "425-486-9111",
            "fax_number": "425-489-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5723 NE BOTHELL WAY",
            "address_2": "SUITE C",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980289404",
            "telephone_number": "425-486-9111",
            "fax_number": "425-489-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPLANT & PERIODONTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLAUDT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "425-486-9111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cohen & Gottlieb, DDS, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nolan P Hoppe-Leonard, LMT
• Julia Maxine Howard
• David Huang
• Elizabeth Scranton Hunter, MA
• Julia Icenogle, MOT, OTR/L
• Implant & Periodontal Associates NW Dr Jon Tarleton DDS MSD
• Integral Foundations Physical Therapy PLLC
• Clare Anne Isaacson, MA LMHC
• Rebecca Ivy
• Sunita Iyer, ND, LM

• Periodontics in Kenmore, WA
• Providers in Kenmore, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.