Individual provider Active NPI

Kevin Scott Ritola, D.M.D.

  • General Practice Dentistry
  • Kirkland, WA
National Provider Identifier
1376661397
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7622 Issued in WA
Practice address
11903 NE 128TH St
Suite D
Kirkland, WA 98034-7209
Phone
(425) 820-0900
Fax
(425) 823-2528
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 7622 WA Primary

Addresses

Primary practice location

11903 NE 128TH St
Suite D
Kirkland, WA 98034-7209

Mailing address

11903 NE 128TH St
Suite D
Kirkland, WA 98034-7209
Phone (425) 820-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161018001594 GA Order and Referring Only - Other (Non-Physician) 6406144872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7622WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gile & Stahl, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376661397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11903 NE 128TH ST",
            "address_2": "SUITE D",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347209",
            "telephone_number": "425-820-0900",
            "fax_number": "425-823-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11903 NE 128TH ST",
            "address_2": "SUITE D",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347209",
            "telephone_number": "425-820-0900",
            "fax_number": "425-823-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITOLA",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "7622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.