Kent N. Kreisman, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KENT N. KREISMAN, M.D.

Practice address

16259 Sylvester Rd SW
Suite 401
Burien, WA 98166-3049

Phone

(206) 244-8121

NPI assigned

Jul 23, 2006

Last updated

Dec 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kent N Kreisman, MD

Title

Owner

Phone

(206) 244-8121

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1356362206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13684",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981981010",
            "telephone_number": "206-241-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16259 SYLVESTER RD SW",
            "address_2": "SUITE 401",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663049",
            "telephone_number": "206-244-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT N. KREISMAN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "KREISMAN",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-244-8121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006170",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sofia Kennel, DDS
• Michael M Kennelly, M.D.
• Kenner and Kenner PLLC
• William Clinton Kenner V, DDS
• William Clinton Kenner IV, DDS
• Pavithra Kesavan, M.D
• Derrick Dewayne Keys, LMHC
• Ronit Khade, DMD
• Anna V Khomlyak, ARNP, DNP
• Jasjit Khurana

• Specialist in Burien, WA
• Providers in Burien, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.