NPIMap

Organization Active NPI

Kushner Auburn PLLC

  • Dentist
  • Silverdale, WA
National Provider Identifier
1285410324
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KUSHNER AUBURN PLLC
Practice address
10513 Silverdale Way NW Ste 200
Silverdale, WA 98383-9499
Phone
(253) 236-5240
Fax
(866) 861-6286
NPI assigned
Sep 5, 2023
Organization subpart
Yes
Parent organization
KUSHNER AUBURN PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Tanya A Gurevich Kushner, DDS
Title
Owner
Phone
(360) 779-7711

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Orofacial Pain DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X2210X
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

10513 Silverdale Way NW Ste 200
Silverdale, WA 98383-9499

Mailing address

32114 1St Ave S Ste 104
Federal Way, WA 98003-5760
Phone (253) 236-5240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231010001933 WA DME Supplier - Oral Surgery - Dentist 7719370048 Practice locations: Silverdale, WA
O20241001002489 WA Part B Supplier - Clinic/Group Practice 7719370048 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
Practice locations: Federal Way, WA; Silverdale, WA; Bellevue, WA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Kushner Auburn PLLC3 organizations share this tax ID, including this one
Part of
Kushner Auburn PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10513 Silverdale Way NW
Ste 200
Silverdale, WA 98383
Phone (253) 236-5240

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1285410324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32114 1ST AVE S STE 104",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035760",
            "telephone_number": "253-236-5240",
            "fax_number": "866-861-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10513 SILVERDALE WAY NW STE 200",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839499",
            "telephone_number": "253-236-5240",
            "fax_number": "866-861-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUSHNER AUBURN PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KUSHNER AUBURN PLLC",
        "enumeration_date": "2023-09-05",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "GUREVICH KUSHNER",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-779-7711",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.