Individual provider Active NPI

Kimberly A Juhnke, RDH

  • Dental Hygienist
  • Liberty Lake, WA
National Provider Identifier
1407744253
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH00007874 Issued in WA
Practice address
21400 E Indiana Ave
Liberty Lake, WA 99019-4001
Phone
(509) 869-1956
NPI assigned
Jun 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH00007874 WA Primary

Addresses

Primary practice location

21400 E Indiana Ave
Liberty Lake, WA 99019-4001

Mailing address

12814 E 29TH Ave
Spokane Valley, WA 99216-0295
Phone (509) 869-5678

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

LicenseStateTypeSpecialty
DH00007874WAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Dignity, PLLC Dental Hygienist CurrentSince Jun 29, 2025 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": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1407744253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12814 E 29TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160295",
            "telephone_number": "509-869-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21400 E INDIANA AVE",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990194001",
            "telephone_number": "509-869-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUHNKE",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH00007874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.