NPIMap

Organization Active NPI

Paul H. Krzeszowski DDS PLLC

  • Dental Clinic/Center
  • Mill Creek, WA
National Provider Identifier
1386389500
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PAUL H. KRZESZOWSKI DDS PLLC
Practice address
15906 Mill Creek Blvd Ste 100
Mill Creek, WA 98012-1797
Phone
(425) 338-2966
NPI assigned
May 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Dr. Paul Krzeszowski, DDSNPI 1932690781
Title
Member / Owner Dentist
Phone
(425) 338-2966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

15906 Mill Creek Blvd Ste 100
Mill Creek, WA 98012-1797

Mailing address

15906 Mill Creek Blvd Ste 100
Mill Creek, WA 98012-1797
Phone (425) 338-2966

National Provider Directory

National Provider Directory

Locations

15906 Mill Creek Blvd
Ste 100
Mill Creek, WA 98012
Phone (425) 338-2966

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1386389500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15906 MILL CREEK BLVD STE 100",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121797",
            "telephone_number": "425-338-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15906 MILL CREEK BLVD STE 100",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121797",
            "telephone_number": "425-338-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL H. KRZESZOWSKI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "KRZESZOWSKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEMBER / OWNER DENTIST",
        "authorized_official_telephone_number": "425-338-2966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.