DR. KEITH E. MCDONALD (NPI# 1023085305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023085305 |
Entity Type | Individual |
Full Name | DR. KEITH E. MCDONALD |
Credential | D.M.D. |
Practice Address |
451 Duvall Ave Ne Suite 140 Renton WA 98059-4675 |
Practice Telephone | 4252285437 |
Practice Fax Number | 4256637990 |
Mailing Telephone | 4252285437 |
Mailing Fax Number | 4256637990 |
Enumeration Date | 2006-03-04 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DE00010042 | WA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 5048921 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295826063 | Keith Jeffrey Mcdonald | Pharmacist | Puget Sound Health Care System American Lake Division, A-111-pc, Tacoma, WA 98493-5000 | 2006-09-27 |
1164425179 | Keith B Mcdonald | Dentist | 5701 W Charleston Blvd, Ste 103, Las Vegas, NV 89146-1256 | 2005-05-23 |
1972076065 | Keith Mcdonald | Counselor | 88 Oxford St, Lewiston, ME 04240-7825 | 2019-01-10 |
1033470067 | Keith W Mcdonald | Nurse Anesthetist, Certified Registered | 4301 Wilson St, Ft Sill, OK 73503 | 2012-06-06 |
Street Address |
451 DUVALL AVE NE SUITE 140 |
City | RENTON |
State | WA |
Zip Code | 98059-4675 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164875001 | Stephen S. Cho, Dds, Pllc | Dentist | 451 Duvall Ave Ne, Suite 220, Renton, WA 98059-4675 | 2016-07-15 |
1942669742 | Melissa Mae Waud | Physical Therapist | 451 Duvall Ave Ne, Suite 200, Renton, WA 98059-4675 | 2016-02-22 |
1770826927 | House, Lee, Mast, Mcdonald and Nelson, PC | Dentist | 451 Duvall Ave Ne, Suite 140, Renton, WA 98059-4675 | 2013-04-05 |
1467771287 | Bryan A Sundin | Family Medicine | 451 Duvall Ave Ne, Ste 100, Renton, WA 98059-4675 | 2010-05-18 |
1780814426 | Jeanne Danielle Moore | Family Medicine | 451 Duvall Ave Ne, Ste 100, Renton, WA 98059-4675 | 2009-07-15 |
1083861140 | Russell Martin Kowalinski | Physical Therapist | 451 Duvall Ave Ne, Suite 200, Renton, WA 98059-4675 | 2008-08-20 |
1548422629 | Crenguta Stepan | Internal Medicine | 451 Duvall Ave Ne, Ste 100, Renton, WA 98059-4675 | 2008-06-30 |
1750569406 | Kristen Beth Brown | Nurse Practitioner | 451 Duvall Ave Ne, Renton, WA 98059-4675 | 2008-02-05 |
1457421141 | Robert Leon Odegard | Dentist | 451 Duvall Ave Ne, Suite 240, Renton, WA 98059-4675 | 2006-11-09 |
1841388618 | Peak Sports & Spine Physical Therapy-renton, P.s. | Physical Therapist | 451 Duvall Ave Ne, Suite 200, Renton, WA 98059-4675 | 2006-10-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346724358 | Vanessa Sequeira | Massage Therapist | 13293 Newcastle Commons Dr, Newcastle, WA 98059 | 2018-09-17 |
1417477720 | Karen Apple | Behavior Technician | 13804 Se 76th Pl, Newcastle, WA 98059 | 2017-06-27 |
1992234256 | Justin Studer | Massage Therapist | 950 Field Ave Ne, Renton, WA 98059 | 2017-06-08 |
1770983306 | Pooja Walia Bhardwaj | Dentist | 6935 Coal Creek Pkwy Se, Newcastle, WA 98059 | 2014-09-02 |
1487799334 | Ai-lien Ngoc Sperry | Dentist | 4820 Ne 4th St, Suite A-108, Renton, WA 98059 | 2007-02-20 |
1225172711 | Vicki L Finesilver-quinn | Social Worker | 13741 148th Pl. Se, Renton, WA 98059 | 2007-02-16 |
1467511535 | Baljinder S Buttar | Dentist | 4501 Ne 4th St, Suite A, Renton, WA 98059 | 2006-12-06 |
1992892913 | Kevin Keith Kay | Dentist | 4444 Ne Sunset Blvd, Suite 3, Renton, WA 98059 | 2006-10-10 |
1194714790 | Dale E Epper Md | Family Medicine | 4444 Sunset Blvd, Dale E Epper Md Dba Highlands Family Practice, Renton, WA 98059 | 2005-10-17 |
1497219661 | Evelyn Faith Lafferty | Massage Therapist | 6985 Coal Creek Pkwy Se, Newcastle, WA 98059 | 2019-01-22 |
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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 |
---|---|---|---|---|
1912271776 | Ghafghazi Dds,p.s. | Dentist | 1002 Park Ave N Ste H, Renton, WA 98057-5632 | 2012-02-26 |
1396843892 | Jared Lothyan | Dentist | 364 Renton Center Way Sw Ste 62, Renton, WA 98057-2378 | 2006-09-20 |
1073521233 | Daniel N. Obrien | Dentist | 400 S 38th Ct, Suite A, Renton, WA 98055-5749 | 2006-08-04 |
1962056176 | Cynthia Alegre Ps | Dentist | 15301 Maple Valley Hwy Ste 100, Renton, WA 98058-8128 | 2019-07-25 |
1770826927 | House, Lee, Mast, Mcdonald and Nelson, PC | Dentist | 451 Duvall Ave Ne, Suite 140, Renton, WA 98059-4675 | 2013-04-05 |
1588798839 | Jared D. Lothyan Dds, Ps | Dentist | 364 Renton Center Way Sw Ste 62, Renton, WA 98055-2378 | 2007-03-16 |
1780779181 | R.thomas Cawrse | Dentist | 364 Renton Center Way Sw Ste 62, Renton, WA 98055-2378 | 2006-10-03 |
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 |
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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.