Individual provider Active NPI

Teresa Kerbawy, DDS

  • Dentist
  • Tukwila, WA
National Provider Identifier
1033600879
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61079241 Issued in WA
Practice address
13030 Military Rd S Ste 210
Tukwila, WA 98168-3080
Phone
(206) 439-3289
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2018017582 MO
Dentist 122300000X DE61079241 WA Primary

Addresses

Primary practice location

13030 Military Rd S Ste 210
Tukwila, WA 98168-3080

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other practice location 1

691 NW Blue Pkwy
Lees Summit, MO 64086-5736
Phone (816) 525-2056

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tkerbawy19634@healthpoint.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201112002321 WA Practitioner - Dentist 0345650743 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018017582MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint Current Accepting new patients
Healthpoint CurrentSince Nov 16, 2020 Accepting new patients
Healthpoint CurrentSince Nov 16, 2020 Accepting new patients
Missouri Dental Professionals, Richard Straus, DMD, PC General Practice Past Accepting new patients
Healthpoint Past Accepting new patients
Healthpoint Past Accepting new patients

Locations

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 100
Kent, WA 98030
Phone (253) 796-4071

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

4040 S 188th St
Ste 201
Seatac, WA 98188
Phone (206) 277-7200

13030 Military Rd S
Ste 200
Tukwila, WA 98168
Phone (206) 439-3289

Interoperability endpoints

  • Direct secure messaging: teresa.kerbawy.p3@direct.hpc.nextgenshare.com
  • Direct secure messaging: tkerbawy19634@healthpoint.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1033600879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13030 MILITARY RD S STE 210",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683080",
            "telephone_number": "206-439-3289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "691 NW Blue Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640865736",
            "country_code": "US",
            "telephone_number": "816-525-2056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERBAWY",
        "first_name": "TERESA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2018017582",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61079241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkerbawy19634@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "13030 Military Rd S Ste 210",
            "city": "Tukwila",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981683080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

Verify at the official NPI Registry.