HIGHLANDS KIDS DENTISTRY AND ORTHODONTICS (NPI# 1538603808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538603808 |
| Entity Type | Organization |
| Organization Name | HIGHLANDS KIDS DENTISTRY AND ORTHODONTICS |
| Practice Address |
2525 Ne Park Dr Ste#b Issaquah WA 98029-2642 |
| Practice Telephone | 4255575437 |
| Practice Fax Number | 4255570472 |
| Mailing Telephone | 4255575437 |
| Mailing Fax Number | 4255570472 |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |
| Authorized Official Name | LOC TRAN (OFFICE MANAGER) |
| Authorized Official Telephone | 4255575437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DE00010356 | WA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
FM0627109 | WA | Dental Providers |
| Street Address |
2525 NE PARK DR STE#B |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98029-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306942156 | Mukti V Godbole | Occupational Therapist | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2006-09-16 |
| 1235522723 | Elizabeth Kern | Occupational Therapist | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2015-03-09 |
| 1053709501 | Rachel Hammack | Physical Therapist | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2015-01-07 |
| 1528326204 | Integrated Rehab Group Limited Partnership | Physical Therapist | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2012-05-01 |
| 1255636528 | Integrated Rehabilitation Group PC | Clinic/Center | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2011-01-18 |
| 1821324286 | Jennifer Romanowicz | Physical Therapist | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2009-10-20 |
| 1619201928 | Erick Kameyoshi Harada | Physical Therapist | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2009-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730161 | Katelyn Creech | Counselor | 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 | 2020-08-13 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1053885061 | Rose Osborne | Registered Nurse | 4580 Klahanie Dr Se #181, Sammamish, WA 98029 | 2019-01-14 |
| 1598260960 | Caryn Crosbie | Behavior Technician | 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 | 2018-03-28 |
| 1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
| 1659765816 | Eastside Social Skills Therapy LLC | Preferred Provider Organization | 5436 232nd Ave Se, Issaquah, WA 98029 | 2015-03-26 |
| 1649513946 | Linda Scoppettone Knodel | Registered Nurse | 5303 231 Ave. Se, Issaquah, WA 98029 | 2013-04-04 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1619248820 | Silas Dickenson Dudley | Dentist | 2520 Ne Park Dr, Suite C, Issaquah, WA 98029 | 2012-01-19 |
| 1659641678 | Cynthia J Creel | Technician/Technologist | 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 | 2012-01-06 |
| Find all providers in zip 98029 | ||||
| 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 |
|---|---|---|---|---|
| 1669994042 | Annikka Louise Frostad-thomas | Dentist | 700 Nw Gilman Blvd # E412, Issaquah, WA 98027-5395 | 2017-07-07 |
| 1013247394 | Shadi Mohammadi Araghi Pllc | Dentist | 2520 Ne Park Drive, Suite C, Issaquah, WA 98029 | 2010-01-08 |
| 1871745588 | Shradha Bansal | Dentist | 85 Nw Alder Pl Ste B, Issaquah, WA 98027-3201 | 2008-10-14 |
| 1770635948 | Thoa V Nguyen | Dentist | 670 Nw Gilman Blvd, Ste B3, Issaquah, WA 98027-2444 | 2007-01-17 |
| 1669560686 | Sally Sue Martinen Lombardi | Dentist | 185 Ne Gilman Blvd, Issaquah, WA 98027-2937 | 2006-10-11 |
| 1831423292 | Eastside Pediatric Dental Group, Pllc | Dentist | 185 Ne Gilman Blvd, Issaquah, WA 98027-2937 | 2009-10-01 |
| 1194840892 | Dawn Woo-huysing, Dmd, Msd, Pllc | Dentist | 710 Nw Juniper St, Suite 208, Issaquah, WA 98027-2717 | 2007-03-20 |
| 1306911383 | Tarja Kaakko | Dentist | 700 Nw Gilman Blvd, Suite E-103, #493, Issaquah, WA 98027-5395 | 2006-11-22 |
| 1013098672 | John Richard Liu | Dentist | 185 Ne Gilman Blvd, Issaquah, WA 98027-2937 | 2006-10-18 |
| 1063501096 | Donna Jean Quinby | Dentist | 185 Ne Gilman Blvd, Issaquah, WA 98027-2937 | 2006-10-11 |
| Find all providers in ISSAQUAH | ||||
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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.