Fairwood Orthodontics
NPI 1619037157 · Orthodontics and Dentofacial Orthopedics Dentistry · Renton, WA
Fairwood Orthodontics is a Orthodontics and Dentofacial Orthopedics Dentistry organization in Renton, WA (NPI 1619037157).
Provider details
- NPI number
- 1619037157
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mario Chorak, Orthodontist Owner(425) 235-8800
- License
- DE00008957 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mercer Island Orthodontics
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2008-08-08
Frequently asked questions
- What is Fairwood Orthodontics's NPI number?
- Fairwood Orthodontics's National Provider Identifier (NPI) is 1619037157, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairwood Orthodontics?
- Fairwood Orthodontics is classified in the NPPES registry as Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Fairwood Orthodontics located?
- Fairwood Orthodontics's practice location on file with NPPES is 14300 Se Petrovitsky Road, Renton, WA 98058.
- What is Fairwood Orthodontics's phone number?
- The practice phone number listed in the NPPES registry for Fairwood Orthodontics is (425) 235-8800.
- Who is the authorized official for Fairwood Orthodontics?
- The authorized official listed on Fairwood Orthodontics's NPPES record is Mario Chorak, Orthodontist Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairwood Orthodontics's NPI active?
- Yes — Fairwood Orthodontics's NPI (1619037157) is active in the NPPES registry as of the last update on 2008-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.