Kirkland Kids Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

60124299 Issued in WA

Legal business name

KIRKLAND KIDS DENTISTRY

Practice address

13118 121St Way NE
Suite 103
Kirkland, WA 98034-3004

Phone

(716) 725-4676

NPI assigned

May 20, 2015

Organization subpart

No

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

Authorized official

Name

Allyson Stewart Dkeidek, D.D.S. CERT.

Title

Pediatric Dentist

Phone

(716) 725-4676

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1306225511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13118 121ST WAY NE",
            "address_2": "SUITE 103",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343004",
            "telephone_number": "716-725-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13118 121ST WAY NE",
            "address_2": "SUITE 103",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343004",
            "telephone_number": "716-725-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKLAND KIDS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "DKEIDEK",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "716-725-4676",
        "authorized_official_credential": "D.D.S.  CERT."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "60124299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008604",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirkland Chiropractic and Massage
• Kirkland Cornerstone Dental
• Kirkland Dermatology Associates, PLLC
• Kirkland Family Health & Wellness
• Kirkland Family Medicine PLLC
• Kirkland Life Chiropractic, P.S.
• Kirkland Memory Care, LLC
• Kirkland Natural Health
• Kirkland Physical Therapy, Inc., P.S.
• Kirkland Premier Dentistry

• Pediatric Dentistry in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.