Active NPI
Kim Rosenthal Patterson DDS PLLC
- Pediatric Dentistry
- Kirkland, WA
National Provider Identifier
1457921983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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 DirectoryLocations
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.
-
- Student in an Organized Health Care Education/Training Program
- New Haven, CT
- NPI 1417368192
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.