Active NPI
Kristin Ozimek, DMD
- General Practice Dentistry
- Seattle, WA
National Provider Identifier
1447670393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE60462932
- Practice address
- 2600 SW Barton St Ste E20
Seattle, WA 98126-3949 - Phone
- (206) 923-3684
- NPI assigned
- Apr 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE60462932 | WA | Primary |
Addresses
Primary practice location
2600 SW Barton St Ste E20
Seattle, WA 98126-3949
Mailing address
18271 14TH Ave NW
Shoreline, WA 98177-3212
Phone (206) 334-4362
Other practice location 1
2960 Tongass Ave
Ketchikan, AK 99901
Phone (907) 228-9202
Other practice location 2
Bolling Air Force Base
Chappie James Blvd
Washington DC, DC 20032-7727
Phone (703) 545-6700
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 |
|---|---|---|---|
| DE60462932 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G. Glenn Buchanan, III, DDS, 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.
-
- Dental Clinic/Center
- Seattle, WA
- NPI 1487088803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1447670393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18271 14TH AVE NW",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981773212",
"telephone_number": "206-334-4362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 SW BARTON ST STE E20",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981263949",
"telephone_number": "206-923-3684"
}
],
"practiceLocations": [
{
"address_1": "2960 Tongass Ave",
"address_purpose": "LOCATION",
"city": "Ketchikan",
"state": "AK",
"postal_code": "99901",
"country_code": "US",
"telephone_number": "907-228-9202",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Bolling Air Force Base",
"address_2": "Chappie James Blvd",
"address_purpose": "LOCATION",
"city": "Washington DC",
"state": "DC",
"postal_code": "200327727",
"country_code": "US",
"telephone_number": "703-545-6700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OZIMEK",
"first_name": "KRISTIN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-18",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE60462932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.