NPIMap

Organization Active NPI

Kristin Kaelin, DMD, P.C.

  • General Practice Dentistry
  • Longview, WA
National Provider Identifier
1467113514
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KRISTIN KAELIN, DMD, P.C.
Practice address
100 Triangle Shopping Ctr Ste 185
Longview, WA 98632-4683
Phone
(360) 425-5110
NPI assigned
Dec 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Kristin Kaelin, DMD
Title
Owner
Phone
(360) 425-5110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

100 Triangle Shopping Ctr Ste 185
Longview, WA 98632-4683

Mailing address

100 Triangle Shopping Ctr Ste 185
Longview, WA 98632-4683
Phone (360) 425-5110

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1467113514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TRIANGLE SHOPPING CTR STE 185",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324683",
            "telephone_number": "360-425-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TRIANGLE SHOPPING CTR STE 185",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324683",
            "telephone_number": "360-425-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN KAELIN, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "KAELIN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-425-5110",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.