Kevin Gerald Otto, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00011104 Issued in WA

Practice address

9750 NE 120TH PL
Kirkland, WA 98034-4282

Phone

(206) 679-3372

NPI assigned

May 22, 2008

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1497912760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8931 NE 1ST ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044816",
            "telephone_number": "206-679-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 NE 120TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344282",
            "telephone_number": "206-679-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "KEVIN",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00011104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Allen Ostrowski, M.D.
• Robert J Oswald, D.D.S.
• Collins Otieno
• Kimberly C Otis, ND
• Meggian Lea Otoole, RAAC
• Layne Otto
• Marguerite Louise Owen
• Mariann Koenig Oxford, COTA
• PA Surgical Services
• Pacific Colon and Rectal Clinic PS

• General Practice Dentistry in Kirkland, WA
• Providers in Kirkland, WA by specialty
• General Practice Dentistry 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.