DR. CYNTHIA LYNN KOUDELA (NPI# 1659461952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659461952 |
| Entity Type | Individual |
| Full Name | DR. CYNTHIA LYNN KOUDELA |
| Credential | D.D.S., M.S.D |
| Practice Address |
11011 Meridian Ave N Suite 104 Seattle WA 98133-8967 |
| Mailing Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Practice Telephone | 2063650378 |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2015-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DE00006021 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807251600 | 05 | |
| AK | DD474WA | 05 | |
| WA | 5048822 | 05 | |
| MT | 0113407 | 05 |
| Street Address |
11011 MERIDIAN AVE N SUITE 104 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-8967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669449062 | Thomas King | Internal Medicine | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2006-03-03 |
| 1538601927 | Elizabeth Marie Storch Goldberg | Nurse Practitioner | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2016-11-16 |
| 1902259468 | Northgate Endodontics | Dentist | 11011 Meridian Ave N, Suite 309, Seattle, WA 98133-8967 | 2016-07-20 |
| 1134509995 | The Polyclinic | Allergy & Immunology | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2015-06-05 |
| 1063751527 | North Seattle Orthodontics Ps | Dentist | 11011 Meridian Ave N, Ste. 304, Seattle, WA 98133-8967 | 2013-02-04 |
| 1063787448 | Laura Bovee | Internal Medicine | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2012-03-19 |
| 1518287705 | Kimberly Vanderzee | Family Medicine | 11011 Meridian Ave N, Suite 200, Seattle, WA 98133-8967 | 2010-06-10 |
| 1649429044 | Hong Li | Dentist | 11011 Meridian Ave N, Ste. 104, Seattle, WA 98133-8967 | 2008-09-10 |
| 1861672255 | Patricia Ann Koning | Dentist | 11011 Meridian Ave N, 104, Seattle, WA 98133-8967 | 2007-11-14 |
| 1972701910 | Diana Cristea | Dentist | 11011 Meridian Ave N, Suite #104, Seattle, WA 98133-8967 | 2007-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
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| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975948 | Hurst and Shannon Pllc | Dentist | 400 Pine St Ste 2017, Seattle, WA 98101-3625 | 2020-06-01 |
| 1891250429 | Daniel Lee, Dds, and Christina Lee, Dds, Ms, Pllc | Dentist | 2911 2nd Ave, Suite 106, Seattle, WA 98121-3065 | 2019-02-07 |
| 1578070777 | Daniel Schruth Dds Pllc | Dentist | 4716 Rainier Ave S, Seattle, WA 98118-1658 | 2018-01-09 |
| 1720513096 | Fedora Katz | Dentist | 2108 N Pacific Street Ap 203, Seattle, WA 98103 | 2017-04-25 |
| 1285188979 | Leone and Vaughn Orthodontics | Dentist | 3131 E Madison St Ste 200, Seattle, WA 98112-4248 | 2016-08-10 |
| 1336594852 | Derek Joshua Hou | Dentist | 6210 28th Ave Ne, Seattle, WA 98115-7118 | 2016-05-03 |
| 1316300155 | Soleil De Marsche Roberts | Dentist | 2714 Fairview Ave E, Apt 301, Seattle, WA 98102-3115 | 2016-03-30 |
| 1407230345 | Douglas S. Ramsay | Dentist | Department of Oral Health Sciences, Univ. of Wa.; Box # 357475, Seattle, WA 98195-7475 | 2015-07-09 |
| 1225454374 | Siddharth R Vora | Dentist | 523 Broadway E, 215, Seattle, WA 98102-5218 | 2014-03-13 |
| 1629326962 | Keith B Wong | Dentist | 1818 E Mercer St, Suite 200, Seattle, WA 98112-4687 | 2012-08-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.