Jessica Ruth Kellogg, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE60303386 Issued in WA

Practice address

20700 44TH Ave W Ste 350
Lynnwood, WA 98036-8367

Phone

(425) 697-3907

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1275877359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11715 90TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346102",
            "telephone_number": "509-881-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 44TH AVE W STE 350",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980368367",
            "telephone_number": "425-697-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "JESSICA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60303386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keep US Close LLC
• Benjamin Randall Kellar
• Joann L Keller, OT
• Kelley a. Ford, Ms, CCC-SLP, PS
• Grace Kelley
• Katherine Kelly
• Mary M. Kelly, M.D.
• Helena Louise Kennedy
• Johanna Sarah Kennemer, MA, LMHC
• Bart Patrick Keogh, M.D.

• Dentist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.