Individual provider Active NPI

Kim A Anardi, DDS

  • Dentist
  • Auburn, WA
National Provider Identifier
1487767851
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5815 Issued in WA
Practice address
1320 8TH St NE
#101
Auburn, WA 98002
Phone
(253) 833-1070
Fax
(253) 735-3893
NPI assigned
Aug 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5815 WA Primary

Addresses

Primary practice location

1320 8TH St NE
#101
Auburn, WA 98002

Mailing address

1320 8TH St NE
#101
Auburn, WA 98002
Phone (253) 833-1070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150701000476 WA Order and Referring Only - DentistPractitioner - Dentist 2860704087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5815WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kim a Anardi DDS Magd PC Past Accepting new patients
Dr. B. Johnson PLLC Dentist PastSince Dec 21, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487767851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 8TH ST NE",
            "address_2": "#101",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "98002",
            "telephone_number": "253-833-1070",
            "fax_number": "253-735-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 8TH ST NE",
            "address_2": "#101",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "98002",
            "telephone_number": "253-833-1070",
            "fax_number": "253-735-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANARDI",
        "first_name": "KIM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "5815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.