Organization Active NPI

Kim Rosenthal Patterson DDS PLLC

  • Pediatric Dentistry
  • Kirkland, WA
National Provider Identifier
1457921983
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KIM ROSENTHAL PATTERSON DDS PLLC
Practice address
13118 121St Way NE Ste 103
Kirkland, WA 98034-3004
Phone
(425) 820-6633
Fax
(425) 820-6630
NPI assigned
Jun 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Dr. Kim Rosenthal Patterson, DDS
Title
Owner/Pediatric Dentist
Phone
(608) 575-1707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

13118 121St Way NE Ste 103
Kirkland, WA 98034-3004

Mailing address

12708 90TH PL NE
Kirkland, WA 98034-1937
Phone (608) 575-1707

Other practice location 1

11911 NE 132nd St Ste 101
Kirkland, WA 98034-2900
Phone (425) 820-6633

National Provider Directory

National Provider Directory

Locations

11911 NE 132nd St
Ste 101
Kirkland, WA 98034
Phone (425) 814-8300

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": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1457921983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12708 90TH PL NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980341937",
            "telephone_number": "608-575-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13118 121ST WAY NE STE 103",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343004",
            "telephone_number": "425-820-6633",
            "fax_number": "425-820-6630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11911 NE 132nd St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980342900",
            "country_code": "US",
            "telephone_number": "425-820-6633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIM ROSENTHAL PATTERSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL PATTERSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "608-575-1707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.