Kristi Rose Donley, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE00010021 Issued in WA

Practice address

1105 12TH Ave NW Ste A1A
Issaquah, WA 98027-8994

Phone

(425) 391-0700

Fax

(425) 391-3332

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 30, 2015 through Apr 30, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Kristi R. Donley, D.D.S., PLLC

  • Endodontics
  • Issaquah, WA
  • NPI 1659724292
  NPD (past) Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1497844344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 12TH AVE NW STE A1A",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278994",
            "telephone_number": "425-391-0700",
            "fax_number": "425-391-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 12TH AVE NW STE A1A",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278994",
            "telephone_number": "425-391-0700",
            "fax_number": "425-391-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONLEY",
        "first_name": "KRISTI",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE00010021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Lynn Dokken, PT, DPT
• Patricia Anne Dolan, LMP
• David Dong, M.D.
• Ning Dong, MD
• Dongho Kim DDS PLLC
• Lena Donovan
• Diane Dorow, M.A.
• Paras Doshi, RPH
• Joseph Davis Doubek
• Meghan Doughty, LMP

• Endodontics in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.