NPIMap

Organization Active NPI

Mikael Kautsky D D S P S

  • Durable Medical Equipment & Medical Supplies
  • Olympia, WA
National Provider Identifier
1538567953
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DE 00007768 Issued in WA
Legal business name
MIKAEL KAUTSKY D D S P S
Practice address
1100 Eastside St SE # 4
Olympia, WA 98501-7304
Phone
(360) 943-6378
Fax
(360) 705-3159
NPI assigned
Dec 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Mikael KautskyNPI 1427057066
Title
President
Phone
(360) 943-6378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DE 00007768 WA Primary

Addresses

Primary practice location

1100 Eastside St SE # 4
Olympia, WA 98501-7304

Mailing address

1100 Eastside St SE # 4
Olympia, WA 98501-7304
Phone (360) 943-6378

National Provider Directory

National Provider Directory

Locations

1100 Eastside St SE
Ste 4
Olympia, WA 98501
Phone (360) 943-6378

Practitioners & affiliated clinicians

Practitioners 1

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": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1538567953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 EASTSIDE ST SE # 4",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985017304",
            "telephone_number": "360-943-6378",
            "fax_number": "360-705-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 EASTSIDE ST SE # 4",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985017304",
            "telephone_number": "360-943-6378",
            "fax_number": "360-705-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKAEL KAUTSKY D D S P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "KAUTSKY",
        "authorized_official_first_name": "MIKAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-943-6378"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "DE 00007768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.