Organization Active NPI

Northshore Dental

  • Dental Clinic/Center
  • Kenmore, WA
National Provider Identifier
1558785030
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NORTHSHORE DENTAL
Practice address
6502 NE 181St St
Kenmore, WA 98028-4802
Phone
(425) 486-6511
Fax
(425) 486-8915
NPI assigned
Feb 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Dr. Christopher Kindem, D.D.S.
Title
Dentist
Phone
(425) 486-6511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6502 NE 181St St
Kenmore, WA 98028-4802

Mailing address

6502 NE 181St St
Kenmore, WA 98028-4802
Phone (425) 486-6511

National Provider Directory

National Provider Directory

Locations

6502 NE 181st St
Kenmore, WA 98028
Phone (425) 486-6511

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": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1558785030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 NE 181ST ST",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284802",
            "telephone_number": "425-486-6511",
            "fax_number": "425-486-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 NE 181ST ST",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284802",
            "telephone_number": "425-486-6511",
            "fax_number": "425-486-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "KINDEM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-486-6511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.