KRISTINA DURICKAS (NPI# 1013323674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013323674 |
| Entity Type | Individual |
| Full Name | KRISTINA DURICKAS |
| Credential | DDS |
| Practice Address |
13034 Se Kent Kangley Rd Kent WA 98030-7965 |
| Mailing Address |
1818 E Madison St Apt 601 Seattle WA 98122-3297 |
| Practice Telephone | 2536316398 |
| Mailing Telephone | 7817755497 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DE60662124 | WA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19255 Powder Hill Pl Ne # 200, Poulsbo, WA 983707455 | 3607797115 |
| Street Address |
13034 SE KENT KANGLEY RD |
| City | KENT |
| State | WA |
| Zip Code | 98030-7965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932180882 | Curtis John Barnett | Dentist | 13034 Se Kent Kangley Rd, Kent, WA 98030-7965 | 2005-11-08 |
| 1912356411 | Nicholas Raklios, Dds, Pllc | Dentist | 13034 Se Kent Kangley Rd, Kent, WA 98030-7965 | 2016-06-07 |
| 1851615587 | Curtis Barnett Dds Pllc | Dentist | 13034 Se Kent Kangley Rd, Kent, WA 98030-7965 | 2010-03-24 |
| 1801944129 | Curtis Barnett Dds Pllc | Dentist | 13034 Se Kent Kangley Rd, Kent, WA 98030-7965 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193193 | Sarah V Swan | Occupational Therapist | 12033 Se 265th St, Kent, WA 98030 | 2020-10-27 |
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1508417429 | Pamela Stefansky | Technician | 25927 119th Ct Se, Kent, WA 98030 | 2019-09-23 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| 1932681921 | Johana Sanchez-vidales | Massage Therapist | 24837 104th Ave Se #100, Kent, WA 98030 | 2018-09-05 |
| 1265925309 | Linda Tomkins | Chiropractor | 12901 Se Kent-kangley Rd, Kent, WA 98030 | 2018-06-13 |
| 1952809543 | Sarah Rose Collins | Massage Therapist | 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 | 2018-01-29 |
| 1942726815 | Alexandra B Zigmont | Physical Therapist | 12926 Se Kent Kangley Road, Kent, WA 98030 | 2017-08-22 |
| 1659801256 | Mitra Lal Dhital | Counselor | 3639 Mlk Jr Way S Seattle, Seattle, WA 98030 | 2017-06-15 |
| 1952838658 | Elizabeth Burson | Registered Nurse | 25742 104th Avenue Se, Kent, WA 98030 | 2017-05-12 |
| Find all providers in zip 98030 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619015815 | Chung-long Hwang | Dentist | 24837 104th Ave Se Ste 200, Kent, WA 98030-6800 | 2007-02-01 |
| 1407992787 | Children's Dental Care | Dentist | 24837 104th Ave Se, Ste 200, Kent, WA 98030-6800 | 2007-01-30 |
| 1932180882 | Curtis John Barnett | Dentist | 13034 Se Kent Kangley Rd, Kent, WA 98030-7965 | 2005-11-08 |
| 1912356411 | Nicholas Raklios, Dds, Pllc | Dentist | 13034 Se Kent Kangley Rd, Kent, WA 98030-7965 | 2016-06-07 |
| 1043620826 | Anna Requa | Dentist | 24837 104th Ave Se Ste 200, Kent, WA 98030-6800 | 2014-05-02 |
| 1851615587 | Curtis Barnett Dds Pllc | Dentist | 13034 Se Kent Kangley Rd, Kent, WA 98030-7965 | 2010-03-24 |
| 1003954496 | Kenny Kai Ho | Dentist | 24837 104th Ave Se Ste 200, Kent, WA 98030-6800 | 2007-02-01 |
| 1801944129 | Curtis Barnett Dds Pllc | Dentist | 13034 Se Kent Kangley Rd, Kent, WA 98030-7965 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807890 | Plateau Kids Dentistry, LLC | Dentist | 2912 228th Ave Se Ste A, Sammamish, WA 98075-9305 | 2020-07-05 |
| 1528603503 | Ellen Polsky Dds and Bobby Virk Dmd, Ps | Dentist | 34704 11th Pl S Ste 101, Federal Way, WA 98003-8730 | 2019-11-13 |
| 1942843552 | Laura Stewart Dds Pllc | Dentist | 6821 Ne 181st St, Kenmore, WA 98028-5034 | 2019-10-26 |
| 1639736119 | Southcenter Children's Dentistry | Dentist | 411 Strander Blvd Ste 303, Tukwila, WA 98188-2924 | 2019-05-21 |
| 1770147001 | Kaitlin Neste Pllc | Dentist | 360 Tormey Ln Ne Ste 198, Bainbridge Island, WA 98110-1990 | 2019-04-22 |
| 1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
| 1497248017 | Jinju Song Dmd Pllc | Dentist | 9707 Ne 119th Way, Kirkland, WA 98034-8955 | 2018-06-08 |
| 1861999864 | Peter Douglas | Dentist | 32105 1st Ave S Ste B3, Federal Way, WA 98003-5719 | 2018-04-07 |
| 1669994042 | Annikka Louise Frostad-thomas | Dentist | 700 Nw Gilman Blvd # E412, Issaquah, WA 98027-5395 | 2017-07-07 |
| 1831624402 | Minh Dau, Dds and Raymond Park, Dds Pllc | Dentist | 3105 Alderwood Mall Blvd, Suite 117, Lynnwood, WA 98036-4703 | 2017-04-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KRISTINA DURICKAS.
| 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.