KIRKLAND FAMILY DENTISTRY (NPI# 1184170763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184170763 |
| Entity Type | Organization |
| Organization Name | KIRKLAND FAMILY DENTISTRY |
| Practice Address |
1715 Market St #104 Kirkland WA 98033 |
| Mailing Address |
1715 Market St Ste 104 Kirkland WA 98033-4968 |
| Practice Telephone | 4258220435 |
| Practice Fax Number | 4258272776 |
| Mailing Telephone | 4258220435 |
| Mailing Fax Number | 4258272776 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | BENJAMIN GREENE (OWNER) |
| Authorized Official Telephone | 4258220435 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
1715 MARKET ST #104 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98033 |
| 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 |
| 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 |
| 1386050078 | Bourree Services Ps | Chiropractor | 634 7th Avenue, Kirkland, WA 98033 | 2014-07-02 |
| Find all providers in zip 98033 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306338249 | Cheiryl Pactanac | Dentist | 11800 Ne 128th St Ste 520, Kirkland, WA 98034-7296 | 2018-06-06 |
| 1952815540 | Mariam Tariri | Dentist | 12403 106th Pl Ne, Kirkland, WA 98034-2861 | 2017-11-20 |
| 1992220305 | William Madsen | Dentist | 105 Brennan Dr, Kirkland, IL 60146-8550 | 2017-08-07 |
| 1205350618 | Roula Cardaras | Dentist | 13110 Ne 120th Ln Apt D205, Kirkland, WA 98034-9318 | 2017-07-27 |
| 1417409855 | Teresa K Kang Dds | Dentist | 12332 120th Ave Ne, Kirkland, WA 98034-6926 | 2016-11-02 |
| 1346796315 | Nazanin Nehchiri | Dentist | 13601 98th Ave Ne, Kirkland, WA 98034-1904 | 2016-08-30 |
| 1386001865 | Katherine M. Mckinney Dds, Ps. | Dentist | 5726 Lake Washington Blvd Ne Ste 2, Kirkland, WA 98033-7425 | 2016-01-28 |
| 1083044184 | Mina Moazzeni | Dentist | 1505 3rd Pl, Kirkland, WA 98033-5556 | 2013-11-26 |
| 1023455540 | Millennium Dental Clinic | Dentist | 1619 Market St, Kirkland, WA 98033-4963 | 2013-05-23 |
| 1336439983 | Alfadhli Abu | Dentist | 11250 Kirkland Way Ste 102, Kirkland, WA 98033-3422 | 2011-04-17 |
| Find all providers in KIRKLAND | ||||
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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.