Individual provider Active NPI

Karyn Kartje, DMD

  • Dentist
  • Vancouver, WA
National Provider Identifier
1255487443
Registry record updated Nov 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00010801 Issued in WA
Practice address
1201 SE Tech Center Dr
150
Vancouver, WA 98683-5512
Phone
(360) 892-7107
NPI assigned
Jan 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00010801 WA Primary
Dentist 122300000X D8864 OR

Addresses

Primary practice location

1201 SE Tech Center Dr
150
Vancouver, WA 98683-5512

Mailing address

14600 SE Valencia Dr
212
Vancouver, WA 98683-5435
Phone (503) 939-1402

Other names 1

  • Karyn Tindal Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D8864ORMDDentist
DE00010801WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric P. Messinger, DDS, PS Past Accepting new patients
Jennifer L Hough DMD PLLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416614400000",
    "number": "1255487443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 SE VALENCIA DR",
            "address_2": "212",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835435",
            "telephone_number": "503-939-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SE TECH CENTER DR",
            "address_2": "150",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835512",
            "telephone_number": "360-892-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARTJE",
        "first_name": "KARYN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-28",
        "last_updated": "2014-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010801",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8864",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARYN",
            "last_name": "TINDAL",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2014; 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.