Active NPI
Jeffrey Earl Kashner, DDS,MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Covington, WA
National Provider Identifier
1366472607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DE00008021
- Practice address
- 17121 SE 270TH PL
Suite 102
Covington, WA 98042-5431 - Phone
- (253) 630-3331
- Fax
- (253) 630-6881
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DE00008021 | WA | Primary |
Addresses
Primary practice location
17121 SE 270TH PL
Suite 102
Covington, WA 98042-5431
Mailing address
703 Bellevue Ave E
Seattle, WA 98102-6928
Phone (253) 630-3331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91111635526 | Other | WA | KITSAP PHYSICIAN SERVICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00008021 | WA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366472607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 BELLEVUE AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981026928",
"telephone_number": "253-630-3331",
"fax_number": "253-630-6881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17121 SE 270TH PL",
"address_2": "SUITE 102",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980425431",
"telephone_number": "253-630-3331",
"fax_number": "253-630-6881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASHNER",
"first_name": "JEFFREY",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "DDS,MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WA",
"license": "DE00008021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KITSAP PHYSICIAN SERVICE",
"identifier": "91111635526",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.