Active NPI
Tiffanie P.O. Kimura, RDH
- Dental Hygienist
- Arlington, WA
National Provider Identifier
1063931293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH-1391
- Practice address
- 326 S Stillaguamish Ave
Arlington, WA 98223-1652 - Phone
- (360) 572-5430
- NPI assigned
- Sep 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH-1391 | HI | Primary |
Addresses
Primary practice location
326 S Stillaguamish Ave
Arlington, WA 98223-1652
Mailing address
1424 Broadway
Everett, WA 98201-1720
Phone (425) 551-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH-1391 | HI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505779200000",
"number": "1063931293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 BROADWAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982011720",
"telephone_number": "425-551-1000",
"fax_number": "425-551-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 S STILLAGUAMISH AVE",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982231652",
"telephone_number": "360-572-5430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMURA",
"first_name": "TIFFANIE",
"middle_name": "P.O.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-19",
"last_updated": "2017-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "HI",
"license": "DH-1391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.