Active NPI
Kevin Dale Adolf, DPM
- Foot & Ankle Surgery Podiatrist
- Kirkland, WA
National Provider Identifier
1124256151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO60217479
- Practice address
- 30 Lake Shore PLZ
Kirkland, WA 98033-6175 - Phone
- (425) 822-4325
- Fax
- (425) 777-2111
- NPI assigned
- Jun 29, 2009
- Last updated
- Jul 23, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 41000232A | IN | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO60217479 | WA | Primary |
Addresses
Primary practice location
30 Lake Shore PLZ
Kirkland, WA 98033-6175
Mailing address
25223 132ND PL SE
Kent, WA 98042-6615
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41000232A | IN | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dpmleonheartprwa LLC | Foot & Ankle Surgery | Past | Accepting new patients |
| Dpmsaltonprwa LLC | Foot & Ankle Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Puyallup, WA
- NPI 1326229485
-
- Foot & Ankle Surgery Podiatrist
- Puyallup, WA
- NPI 1790966851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374537600000",
"number": "1124256151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25223 132ND PL SE",
"city": "KENT",
"state": "WA",
"postal_code": "980426615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 LAKE SHORE PLZ",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980336175",
"telephone_number": "425-822-4325",
"fax_number": "425-777-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADOLF",
"first_name": "KEVIN",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-29",
"last_updated": "2013-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "41000232A",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO60217479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.