Active NPI
Patrick Tracy Kintner, DDS
- Dentist
- Seattle, WA
National Provider Identifier
1548213788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 05846
- Practice address
- 3216 NE 45 Place Ste #211
Lakeview Medical BLDG
Seattle, WA 98105 - Phone
- (206) 527-7001
- NPI assigned
- May 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 05846 | WA | Primary |
Addresses
Primary practice location
3216 NE 45 Place Ste #211
Lakeview Medical BLDG
Seattle, WA 98105
Mailing address
3216 NE 45 Place Ste #211
Lakeview Medical BLDG
Seattle, WA 98105
Phone (206) 527-7001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5068606 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05846 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Max Saxena DDS PLLC | Past | Accepting new patients | |
| Audrey S Lee, DDS, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548213788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3216 NE 45 PLACE STE #211",
"address_2": "LAKEVIEW MEDICAL BLDG",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98105",
"telephone_number": "206-527-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3216 NE 45 PLACE STE #211",
"address_2": "LAKEVIEW MEDICAL BLDG",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98105",
"telephone_number": "206-527-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINTNER",
"first_name": "PATRICK",
"middle_name": "TRACY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "05846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5068606",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.