DR. KIM WINONA SMITH (NPI# 1063620169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063620169 |
| Entity Type | Individual |
| Full Name | DR. KIM WINONA SMITH |
| Credential | DDS, MSD |
| Practice Address |
10138 Ne 64th St Apt 37 Kirkland WA 98033-6861 |
| Mailing Address |
Po Box 53 Kirkland WA 98083-0053 |
| Practice Telephone | 4258271731 |
| Mailing Telephone | 4258271731 |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
30-01-8319 | OH | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DE00006771 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962082 | Kim M Smith | Occupational Therapist | 611 Sw Federal Hwy Ste C, Stuart, FL 34994-2925 | 2019-10-02 |
| 1083030852 | Kim Smith | Registered Nurse | 1736 Main St S, Greenwood, SC 29646-4124 | 2014-03-17 |
| 1720359748 | Kim Smith | Massage Therapist | 1170 S Charlton Park Rd, Hastings, MI 49058-9199 | 2012-01-23 |
| 1811223464 | Kim W Smith | Nurse Practitioner | 5817 Tuckertown Ln, Fayetteville, NC 28314-1375 | 2009-11-02 |
| 1811187826 | Kim S Smith | Licensed Practical Nurse | 9580 Refugee Rd Sw, Pataskala, OH 43062-8628 | 2007-07-26 |
| 1962454397 | Kim L Smith | Specialist | 865 Junction Dr, Allen, TX 75013-5006 | 2006-05-16 |
| 1043274186 | Kim R Smith | Counselor | 1606 Wellington Ave, Suite C, Wilmington, NC 28401-7747 | 2006-04-14 |
| 1780651208 | Kim N. Smith | Obstetrics & Gynecology | 2301 Springhill Road, Suite 110, Benton, AR 72019-2593 | 2006-03-02 |
| 1831196419 | Kim Smith | Nurse Practitioner | 5700 Monroe St Unit 310, Sylvania, OH 43560-2768 | 2005-06-28 |
| 1881295947 | Kim Renae Smith | Home Health Aide | 42 Parrish Ln, Ashford, WV 25009-9091 | 2020-11-05 |
| Street Address |
10138 NE 64TH ST APT 37 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98033-6861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584826 | Raquel Maria Reyes | Interpreter | 11205 Ne 62nd St., Kirkland, WA 98033 | 2020-10-02 |
| 1588146468 | Lake Washington Family Chiropractic, Pllc | Chiropractor | 816 6th Street South, 816 6th Street South, Kirkland, WA 98033 | 2018-09-06 |
| 1316463557 | Tony Jia Ly | Pharmacist | 7224 120th Ave Ne, Kirkland, WA 98033 | 2017-08-18 |
| 1003356403 | Eden Home Health of King County, LLC | Home Health | 733 7th Avenue, Suite 110, Kirkland, WA 98033 | 2017-03-03 |
| 1184170763 | Kirkland Family Dentistry | Dentist | 1715 Market St #104, Kirkland, WA 98033 | 2016-09-01 |
| 1144688565 | Kamala Psychology and Yoga LLC | Psychologist | 603 4th Ave Ste 101, Kirkland, WA 98033 | 2016-01-30 |
| 1245695352 | Ron Massey | Massage Therapist | 11406 Ne 112th St, Kirkland, WA 98033 | 2015-12-17 |
| 1194106039 | John Pham | Internal Medicine | 9426 116th Ave Ne, Kirkland, WA 98033 | 2015-06-16 |
| 1992199970 | Garrison Patrick Wier | Ophthalmology | 625 4th Ave Ste 301, Kirkland, WA 98033 | 2015-03-26 |
| 1871993113 | Abigail Trajtenberg Loomis | Behavioral Analyst | 1003 7th Avenue, Kirkland, WA 98033 | 2014-08-22 |
| Find all providers in zip 98033 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632843 | Jessica Hsu | Dentist | 625 4th Ave Ste 201, Kirkland, WA 98033-9028 | 2020-02-29 |
| 1578160057 | Jessica C Hsu Dds Pllc | Dentist | 625 4th Ave Ste 201, Kirkland, WA 98033-9028 | 2020-10-07 |
| 1518241447 | Karbakhsch Periodontics & Implants, Pllc - North | Dentist | 12911 120th Ave Ne, Suite F-240, Kirkland, WA 98034-3027 | 2011-10-11 |
| 1033440201 | Maurine Machugh | Dentist | 12911 120th Ave. Ne, Suite F240, Kirkland, WA 98034-3027 | 2010-01-27 |
| 1669561262 | Martin A Rabin | Dentist | 11830 Ne 128th St, Ste 102, Kirkland, WA 98034 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653397 | Rika Takada | Dentist | B403 Health Sciences Building, Seattle, WA 98195-0001 | 2020-06-14 |
| 1467074757 | Amit Srikant Gharpure | Dentist | 1959 Ne Pacific Street Health Science Center Room B-403, Seattle, WA 98195-0001 | 2020-05-10 |
| 1992338891 | Ehsan Zahedi | Dentist | 18009 Highway 99 Ste F, Lynnwood, WA 98037-4499 | 2020-02-19 |
| 1780142729 | Shoko Sato | Dentist | 2505 S 320th St Ste 330, Federal Way, WA 98003-5461 | 2019-03-08 |
| 1942738497 | Yu Lwo | Dentist | 1740 Nw Maple St Ste 110, Issaquah, WA 98027-8000 | 2017-05-30 |
| 1134677792 | Mill Creek Implants & Periodontics | Dentist | 15130 Main St Ste 210, Mill Creek, WA 98012-7370 | 2016-09-13 |
| 1164890026 | Shih-chung Liao | Dentist | 720 Olive Way Ste 810, Seattle, WA 98101-1836 | 2015-09-09 |
| 1225445539 | Implant & Periodontic Specialists | Dentist | 1418 112th Ave Ne Suite 100, Bellevue, WA 98004 | 2014-07-18 |
| 1093147068 | Etheridge Family Dentistry | Dentist | 3130 E Madison St Ste 103, Seattle, WA 98112-4221 | 2013-08-01 |
| 1639416183 | Jessica R Swoboda | Dentist | 10050 Ne 10th St # Stc, Bellevue, WA 98004-4121 | 2013-01-03 |
| Find all providers with the same taxonomy | ||||
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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.