Kae Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9075 Issued in WA

Legal business name

KAE DENTAL

Practice address

4116 California Ave SW Apt 101
Seattle, WA 98116-4151

Phone

(206) 708-1845

Fax

(206) 913-2516

NPI assigned

Aug 29, 2016

Organization subpart

No

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

Authorized official

Name

Joon W Kae, DMD

Title

Dentist/Owner

Phone

(206) 708-1845

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1336695469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 CALIFORNIA AVE SW APT 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164151",
            "telephone_number": "206-708-1845",
            "fax_number": "206-913-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 CALIFORNIA AVE SW APT 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164151",
            "telephone_number": "206-708-1845",
            "fax_number": "206-913-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "KAE",
        "authorized_official_first_name": "JOON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "206-708-1845",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "9075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1811064884",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Kadera, MD
• Kellan James Kading, M.D.
• Zachary Kadro, ND
• Dyanna Kaduk, LICSW
• Suha Kadura, M.D.
• Christina Yoshihara Kae, PHARMD
• Joon W Kae, DMD
• Mary Ann Kae, LMP
• Allison June Kaeding, MD
• Daniela Kristin Kaefer, MD

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.