Active NPI
Lynn R Kuehn, DDS
- General Practice Dentistry
- Toppenish, WA
National Provider Identifier
1568484558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5281
- Practice address
- 604 W 4TH Ave
Suite C
Toppenish, WA 98948-1673 - Phone
- (509) 865-4413
- Fax
- (509) 865-4972
- NPI assigned
- Jul 25, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5281 | WA | Primary |
Addresses
Primary practice location
604 W 4TH Ave
Suite C
Toppenish, WA 98948-1673
Mailing address
604 W 4TH Ave
Suite C
Toppenish, WA 98948-1673
Phone (509) 865-4413
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5057302 | Medicaid | WA | |
| 5944 | Other | WA | WASHINGTON DENTAL SERVICE |
| KU0076 | Other | WA | REGENCE |
| 800833 | Other | WA | UNITED CONCORDIA |
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 |
|---|---|---|---|
| 5281 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1568484558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 W 4TH AVE",
"address_2": "SUITE C",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989481673",
"telephone_number": "509-865-4413",
"fax_number": "509-865-4972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 W 4TH AVE",
"address_2": "SUITE C",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989481673",
"telephone_number": "509-865-4413",
"fax_number": "509-865-4972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUEHN",
"first_name": "LYNN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "5281",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5057302",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON DENTAL SERVICE",
"identifier": "5944",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "KU0076",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "800833",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toppenish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.