JOHN BEACK DMD PS (NPI# 1295083632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295083632 |
| Entity Type | Organization |
| Organization Name | JOHN BEACK DMD PS |
| Practice Address |
13210 Se 240th St Suite B1 Kent WA 98042-5182 |
| Practice Telephone | 2536318490 |
| Mailing Telephone | 2536318490 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |
| Authorized Official Name | JOHN BEACK (PRESIDENT) |
| Authorized Official Telephone | 4259992402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DE00010948 | WA | Ambulatory Health Care Facilities |
| Street Address |
13210 SE 240TH ST SUITE B1 |
| City | KENT |
| State | WA |
| Zip Code | 98042-5182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424396 | Susan M Hollinsworth | Dentist | 13210 Se 240th St, Ste B3, Kent, WA 98042-5182 | 2005-06-01 |
| 1487979217 | Kenna Marie Hadden | Dietitian, Registered | 13210 Se 240th St, Kent, WA 98042-5182 | 2010-04-05 |
| 1659415958 | Leland Bradley Dawson | Dentist | 13210 Se 240th St, Suite B1, Kent, WA 98042-5182 | 2007-02-19 |
| 1689718991 | Leland B. Dawson Dds, Ps | Dentist | 13210 Se 240th St, Suite B1, Kent, WA 98042-5182 | 2007-02-19 |
| 1992843296 | Anna M Giustozzi | Legal Medicine | 13210 Se 240th St, A6, Kent, WA 98042-5182 | 2007-02-01 |
| 1295873578 | Dan E Ranniger Md Ps Inc | Legal Medicine | 13210 Se 240th St, A6, Kent, WA 98042-5182 | 2007-02-01 |
| 1245377241 | Meridian Valley Chiropractic Clinic, Ps | Chiropractor | 13210 Se 240th St, Suite A-4, Kent, WA 98042-5182 | 2007-01-31 |
| 1588715957 | Kristine Marie Proctor | Specialist | 13210 Se 240th St, Suite A-4, Kent, WA 98042-5182 | 2007-01-14 |
| 1124182688 | Carey Michael Hughes | Chiropractor | 13210 Se 240th St, Suite A-4, Kent, WA 98042-5182 | 2006-12-20 |
| 1407881998 | Valley Handworks Inc | Occupational Therapist | 13210 Se 240th St, Suite C1, Kent, WA 98042-5182 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1609489640 | Hua Wang | Massage Therapist | 27641 Covington Way Se, Ste 1, Covington, WA 98042 | 2020-08-28 |
| 1417416678 | Anatoliy Voznyarskiy | Behavior Technician | 27023 164th. Ave Se, Covington, WA 98042 | 2019-03-18 |
| 1639693393 | Michele Shilley | Registered Nurse | 24519 185th Pl Se, Covington, WA 98042 | 2017-08-02 |
| 1104281526 | Kimberly Destefano | Licensed Practical Nurse | 27446 151st Pl Se, Kent, WA 98042 | 2015-12-30 |
| 1508243403 | Dora Arralde | Registered Nurse | 14620 S.e. 244th St, Kent, WA 98042 | 2015-04-29 |
| 1609299486 | Mei Ing Yau | Registered Nurse | 14311 Se 243rd St, Kent, WA 98042 | 2014-01-29 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| 1326327073 | Julie A Taylor | Occupational Therapy Assistant | 15630 Se 262nd Pl, Covington, WA 98042 | 2011-08-12 |
| 1720380397 | Blanka Karasek | Pharmacist | 17023 Se 272nd St., Safeway Pharmacy, Covington, WA 98042 | 2010-12-02 |
| Find all providers in zip 98042 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023376225 | Js Dental Clinic, LLC | Clinic/Center | 9735 S 222nd St, Kent, WA 98031-2410 | 2012-04-25 |
| 1669825402 | Richard Hayashi Dds,pllc | Clinic/Center | 25018 104th Ave Se, Suite B, Kent, WA 98030-2820 | 2016-07-17 |
| 1558780585 | Brandon Tomi Yamamura Dds, Msd, Pllc | Clinic/Center | 221 2nd Ave S Ste 101, Kent, WA 98032-5873 | 2014-04-07 |
| 1730465899 | Van H Vuong Dds & Cindy H Chou Dds 2 Pllc | Clinic/Center | 26228 Pacific Hwy S, Kent, WA 98032-6934 | 2011-11-02 |
| 1184952079 | Great Wall Clinic | Clinic/Center | 18230 E Valley Hwy, 168, Kent, WA 98032-1259 | 2009-12-03 |
| 1730282054 | Gordon B Rosengren, Dds, Inc, Ps | Clinic/Center | 24722 104th Ave Se, Suite 201, Kent, WA 98030-5322 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700671 | K.lee, Dds, Pllc. | Clinic/Center | 20709 Mountain Hwy E # 102, Spanaway, WA 98387-8580 | 2020-11-06 |
| 1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
| 1356942684 | Healthy Smiles Northwest | Clinic/Center | 11808 18th St Se, Lake Stevens, WA 98258-2046 | 2020-11-03 |
| 1306446240 | Christine A Woodward, Dds, Pllc | Clinic/Center | 45860 Main St, Concrete, WA 98237 | 2020-10-29 |
| 1215535695 | Ellingsen Henneberg Pllc | Clinic/Center | 2607 S Southeast Blvd Ste B210, Spokane, WA 99223-7614 | 2020-10-16 |
| 1174121792 | Evolve Dental LLC | Clinic/Center | 4410 194th St Sw Ste A, Lynnwood, WA 98036-5598 | 2020-10-15 |
| 1326646035 | Natasha Habib Dds Ps | Clinic/Center | 1025 153rd St Se Ste 103, Mill Creek, WA 98012-4051 | 2020-10-14 |
| 1386241636 | Mellissa Ilgen, Dds, Pllc | Clinic/Center | 26114 Illinois Ave Ne, Kingston, WA 98346-7674 | 2020-10-08 |
| 1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
| 1164039731 | Consolidated Dental Three | Clinic/Center | 19221 108th Ave Se Ste 2, Renton, WA 98055-7369 | 2020-09-28 |
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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.