Organization Active NPI

Kinnari Patel

  • General Practice Dentistry
  • Kent, WA
National Provider Identifier
1487965687
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60105498 Issued in WA
Legal business name
KINNARI PATEL
Practice address
431 E Ward St
Kent, WA 98030-4537
Phone
(206) 508-4420
Fax
(206) 493-2767
NPI assigned
Jun 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Kinnari Patel, DDS
Title
General Dentist
Phone
(650) 521-2124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE60105498 WA Primary

Addresses

Primary practice location

431 E Ward St
Kent, WA 98030-4537

Mailing address

431 E Ward St
Kent, WA 98030-4537
Phone (206) 508-4420

Other identifiers 1

IdentifierTypeStateIssuer
1336475706OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1487965687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E WARD ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304537",
            "telephone_number": "206-508-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E WARD ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304537",
            "telephone_number": "206-508-4420",
            "fax_number": "206-493-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINNARI PATEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KINNARI",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "650-521-2124",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60105498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1336475706",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.