Kindred Associates, PLLC

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

602560961 Issued in WA

Legal business name

KINDRED ASSOCIATES, PLLC

Doing business as

ElderCare Dental Hygiene Services

Practice address

3915 E Connecticut St
Bellingham, WA 98226-4437

Phone

(360) 733-3160

Fax

(360) 733-8540

NPI assigned

Jan 21, 2007

Last updated

Sep 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Anita Lee Rodriguez, RDH, BS

Title

Member-Manager

Phone

(360) 733-3160

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• ElderCare Dental Hygiene Services Doing business as

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1528111515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 E CONNECTICUT ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982264437",
            "telephone_number": "360-733-3160",
            "fax_number": "360-733-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 E CONNECTICUT ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982264437",
            "telephone_number": "360-733-3160",
            "fax_number": "360-733-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "360-733-3160",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH, BS"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "602560961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900824",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902143",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902135",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8023137",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5025036",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ElderCare Dental Hygiene Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jin Tae Kim, R.PH
• Mercy Kimani
• Joan Sherwood Kimball, PH.D.
• Steven Douglas Kimberley, D.M.D.
• Kind Hearts Psychiatry PLLC
• Erin Gail King-Luce
• Angel King
• Eric Deaye King, D.O
• Gordon King
• James Cheung-CHI King, M.D.

• Dental Hygienist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.