NPIMap

Organization Active NPI

Kara McCulloch DMD MSD PLLC

  • Respite Care
  • Mercer Island, WA
National Provider Identifier
1518397579
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
7844 Issued in WA
Legal business name
KARA MCCULLOCH DMD MSD PLLC
Doing business as
Orthodontic Associates of Mercer Island
Practice address
2817 80TH Ave SE
Mercer Island, WA 98040-2913
Phone
(206) 232-9600
Fax
(206) 232-2936
NPI assigned
Nov 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Dr. Kara J. McCulloch, DMD, MSD
Title
Owner
Phone
(206) 232-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 7844 WA Primary

Addresses

Primary practice location

2817 80TH Ave SE
Mercer Island, WA 98040-2913

Mailing address

2817 80TH Ave SE
Mercer Island, WA 98040-2913
Phone (206) 232-9600

Other names 1

  • Orthodontic Associates of Mercer Island Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1518397579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 80TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402913",
            "telephone_number": "206-232-9600",
            "fax_number": "206-232-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 80TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402913",
            "telephone_number": "206-232-9600",
            "fax_number": "206-232-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARA MCCULLOCH DMD MSD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "MCCULLOCH",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-232-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "WA",
            "license": "7844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontic Associates of Mercer Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.