Kent K Kusakabe D.D.S., P.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

603288637 Issued in WA

Legal business name

KENT K KUSAKABE D.D.S., P.S.

Practice address

8435 161St Ave NE Ste 2
Redmond, WA 98052-1513

Phone

(206) 660-4488

NPI assigned

May 2, 2013

Last updated

May 2, 2013By 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

Dr. Kent Koshi Kusakabe, D.D.S.

Title

President

Phone

(206) 660-4488

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1215372313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 206TH ST SE APT B",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982965167",
            "telephone_number": "206-660-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8435 161ST AVE NE STE 2",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980521513",
            "telephone_number": "206-660-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT K KUSAKABE D.D.S., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "KUSAKABE",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "KOSHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-660-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "603288637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5001813",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Kempster
• Rick James Kenna, MA, AAC
• Kennett Consulting LLC (Eastside Family Counseling)
• Jennifer S Kennett, MA, MBA
• Mary A Kenney, PH.D.
• Michael Finley Kern, DDS
• Tigran Khachatryan
• Josephine Ester Khamala, AAC, NA
• Rachel Nyamgule Khamala, AAC, NA
• Ndey Tabara Khan, NP

• General Practice Dentistry in Redmond, WA
• Providers in Redmond, 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 May 2, 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.

Verify at the official NPI Registry.