Active NPI
David Joseph Kessler, M.D.
- Otolaryngology Physician
- Silverdale, WA
National Provider Identifier
1124057682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD00024865
- Practice address
- 2200 NW Myhre Rd
Silverdale, WA 98383-7681 - Phone
- (360) 830-1100
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD00024865 | WA | Primary |
| Facial Plastic Surgery Physician | 207YS0123X | MD00024865 | WA | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | MD00024865 | WA |
Addresses
Primary practice location
2200 NW Myhre Rd
Silverdale, WA 98383-7681
Mailing address
2512 Wheaton Way
Bremerton, WA 98310-3399
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4286309 | Other | AETNA | |
| KE6412 | Other | REGENCE BLUESHIELD | |
| 75435 | Other | WA | LABOR & INDUSTRIES |
| 1034453 | Medicaid | WA | |
| 8913055 | Other | WA | CRIME VICTIMS COMP |
| 040002009 | Other | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00024865 | WA | MD | Facial Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1124057682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 WHEATON WAY",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 NW MYHRE RD",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983837681",
"telephone_number": "360-830-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSLER",
"first_name": "DAVID",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WA",
"license": "MD00024865",
"primary": true
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "WA",
"license": "MD00024865",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "WA",
"license": "MD00024865",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4286309",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "KE6412",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "75435",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1034453",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS COMP",
"identifier": "8913055",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "040002009",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.