NPIMap

Organization Active NPI

Knoff & Fettig, PS

  • Oral and Maxillofacial Pathology Dentistry
  • Kirkland, WA
National Provider Identifier
1528155686
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
8743/6821 Issued in WA
Legal business name
KNOFF & FETTIG, PS
Practice address
12330 120TH Ave NE
Kirkland, WA 98034-6926
Phone
(425) 821-7979
Fax
(425) 821-0500
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Debbie J Scott
Title
Office Manager
Phone
(425) 821-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0106X 8743/6821 WA Primary

Addresses

Primary practice location

12330 120TH Ave NE
Kirkland, WA 98034-6926

Mailing address

12330 120TH Ave NE
Kirkland, WA 98034-6926
Phone (425) 821-7979

National Provider Directory

National Provider Directory

Locations

12330 120th Ave NE
Kirkland, WA 98034
Phone (425) 821-7979

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528155686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 120TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346926",
            "telephone_number": "425-821-7979",
            "fax_number": "425-821-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 120TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346926",
            "telephone_number": "425-821-7979",
            "fax_number": "425-821-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOFF & FETTIG, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-821-7979",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "WA",
            "license": "8743/6821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.