Organization Active NPI

Katherine McKinney DDS PS

Doing business as Dentiste

  • General Practice Dentistry
  • Kirkland, WA
National Provider Identifier
1093823510
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9147 Issued in WA
Legal business name
KATHERINE MCKINNEY DDS PS
Doing business as
Dentiste
Practice address
5726 Lake Washington Blvd NE Ste S2
Kirkland, WA 98033-7398
Phone
(425) 284-0515
Fax
(425) 284-0516
NPI assigned
Aug 25, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Michelle Rene Mayo
Title
Office Manager
Phone
(425) 284-0515

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 9147 WA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 9147 WA Primary

Addresses

Primary practice location

5726 Lake Washington Blvd NE Ste S2
Kirkland, WA 98033-7398

Mailing address

5726 Lake Washington Blvd NE Ste S2
Kirkland, WA 98033-7398
Phone (425) 284-0515

Other names 1

  • Dentiste Doing business as

National Provider Directory

National Provider Directory

Locations

5726 Lake Washington Blvd NE
Ste S2
Kirkland, WA 98033
Phone (215) 939-1988

Practitioners & affiliated clinicians

Practitioners 2

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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1093823510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 LAKE WASHINGTON BLVD NE STE S2",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337398",
            "telephone_number": "425-284-0515",
            "fax_number": "425-284-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 LAKE WASHINGTON BLVD NE STE S2",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337398",
            "telephone_number": "425-284-0515",
            "fax_number": "425-284-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE MCKINNEY DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-284-0515"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "9147",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "9147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentiste",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.