Individual provider Active NPI

Karen E. Homitz, DDS

  • General Practice Dentistry
  • Burlington, WA
National Provider Identifier
1275689127
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
WA8090DE Issued in WA
Practice address
130 E Hazel Ave
Burlington, WA 98233-1120
Phone
(360) 755-9136
Fax
(360) 755-0431
NPI assigned
Jan 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X WA8090DE WA Primary

Addresses

Primary practice location

130 E Hazel Ave
Burlington, WA 98233-1120

Mailing address

130 E Hazel Ave
Burlington, WA 98233-1120
Phone (360) 755-9136

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
WA8090DEWAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275689127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E HAZEL AVE",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331120",
            "telephone_number": "360-755-9136",
            "fax_number": "360-755-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E HAZEL AVE",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331120",
            "telephone_number": "360-755-9136",
            "fax_number": "360-755-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMITZ",
        "first_name": "KAREN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "WA8090DE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.