Individual provider Active NPI

Christen Dittmar Kartaltepe, D.D.S.

  • General Practice Dentistry
  • Federal Way, WA
National Provider Identifier
1285983940
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60307916 Issued in WA
Practice address
728 S 320TH St Ste a
Federal Way, WA 98003-5255
Phone
(253) 839-1300
NPI assigned
Sep 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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 DE60307916 WA Primary

Addresses

Primary practice location

728 S 320TH St Ste a
Federal Way, WA 98003-5255

Mailing address

9116 143Rd Ave SE
Newcastle, WA 98059-3467
Phone (210) 286-7561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60307916WAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1347148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1285983940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116 143RD AVE SE",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593467",
            "telephone_number": "210-286-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 S 320TH ST STE A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035255",
            "telephone_number": "253-839-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARTALTEPE",
        "first_name": "CHRISTEN",
        "middle_name": "DITTMAR",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-09",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60307916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.