Kitsap Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

60080602 Issued in WA

Legal business name

KITSAP DENTAL

Practice address

20730 Bond Rd NE Ste 100
Poulsbo, WA 98370-9000

Phone

(360) 779-2420

Fax

(360) 779-6219

NPI assigned

Jan 31, 2018

Last updated

Jan 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lois Lee, DDS

Title

Dentist

Phone

(360) 779-2420

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1194223537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20730 BOND RD NE STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709000",
            "telephone_number": "360-779-2420",
            "fax_number": "360-779-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20730 BOND RD NE STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709000",
            "telephone_number": "360-779-2420",
            "fax_number": "360-779-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITSAP DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-779-2420",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "60080602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nobuhiko Kira, MD
• Marcy Kispert, LMP
• Kitsap Chest Consultants, PLLC (Kitsap Pulmonary and Sleep Medicine, PLLC)
• Kitsap Chiropractors PLLC (Ryan Chiropractic Clinic / Delong Chiropractic Clinic)
• Kitsap County Fire District 18
• Kitsap Eyecare Centers Inc PS (Poulsbo Eyecare Center)
• Kitsap Gastro and Liver Clinic, PLLC
• Kitsap Physical Therapy and Sports Clinic PS Inc
• Joseph Knapp
• Sophie Knapp, CN, CNS

• Dental Clinic/Center in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.