Eileen Kuo Deskins, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010491 Issued in WA

Practice address

716 W Main St
Centralia, WA 98531-2847

Phone

(360) 736-0795

Fax

(360) 330-1637

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Eileen Kuo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Olympic Dental Center LLC

  • Dental Clinic/Center
  • Centralia, WA
  • NPI 1841318912
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1215053988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 VETERAN'S DRIVE",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98493",
            "telephone_number": "253-983-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 W MAIN ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985312847",
            "telephone_number": "360-736-0795",
            "fax_number": "360-330-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESKINS",
        "first_name": "EILEEN",
        "middle_name": "KUO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "10491",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "KUO",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan L Denetclaw
• Department of Social and Health Service (DSHS Behavioral and Treatment Center-Maple Lane)
• Department of Social and Health Services
• Department of Social and Health Services (DSHS Behavioral Health and Treatment Center-Cascade)
• Gail Elizabeth Depew, MA-P
• Dave Watson Devaughn
• Franklin Day Devaul
• Kayla Rose Devine, M.A., CCC-SLP
• Kelley Devoe
• David Allen Dietrick, PHARM D

• General Practice Dentistry in Centralia, WA
• Providers in Centralia, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.