Organization Active NPI

Kutcipal & Mahil DDS PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Seattle, WA
National Provider Identifier
1053875096
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
KUTCIPAL & MAHIL DDS PLLC
Practice address
1448 NW Market Street
Suite 230
Seattle, WA 98107
Phone
(206) 783-9672
Fax
(206) 784-4812
NPI assigned
Jan 23, 2019
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Elizabeth A Kutcipal, DDSNPI 1538271309
Title
Owner
Phone
(206) 783-9672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

1448 NW Market Street
Suite 230
Seattle, WA 98107

Mailing address

1448 NW Market Street
Suite 230
Seattle, WA 98107
Phone (206) 783-9672

Other names 2

  • John K Tidwell DDS and Elizabeth A Kutcipal DDS PLLC Former legal business name
  • Kutcipal & Kutcipal DDS PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1448 NW Market St
Ste 230
Seattle, WA 98107
Phone (206) 427-6325

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1053875096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 NW MARKET STREET",
            "address_2": "SUITE 230",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98107",
            "telephone_number": "206-783-9672",
            "fax_number": "206-784-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 NW MARKET STREET",
            "address_2": "SUITE 230",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98107",
            "telephone_number": "206-783-9672",
            "fax_number": "206-784-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUTCIPAL & MAHIL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2025-09-02",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "KUTCIPAL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-783-9672",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John K Tidwell DDS and Elizabeth A Kutcipal DDS PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "John K Tidwell DDS and Elizabeth A Kutcipal DDS PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kutcipal & Kutcipal DDS PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.