Active NPI
Kristopher Jean Paul Sophiea, D.D.S
- Endodontics
- Redmond, WA
National Provider Identifier
1265746432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DE60151102
- Practice address
- 8301 161St Ave NE
Redmond, WA 98052 - Phone
- (425) 869-2252
- NPI assigned
- Jul 30, 2010
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE60151102 | WA | |
| Endodontics | 1223E0200X | DE60151102 | WA | Primary |
Addresses
Primary practice location
8301 161St Ave NE
Redmond, WA 98052
Mailing address
6847 55TH Ave NE
Seattle, WA 98115-7826
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE60151102 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1265746432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6847 55TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981157826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 161ST AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "98052",
"telephone_number": "425-869-2252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOPHIEA",
"first_name": "KRISTOPHER",
"middle_name": "JEAN PAUL",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-30",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60151102",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WA",
"license": "DE60151102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.