Kevin Ray Suzuki, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE 60108665 Issued in WA

Practice address

2505 S 320TH St
Suite 330
Federal Way, WA 98003-5400

Phone

(206) 400-0800

Fax

(253) 874-9068

NPI assigned

Jun 14, 2010

Last updated

Jun 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 1, 2016 through Aug 1, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kang DDS & Suzuki DMD Ms El PLLC

  dba Puget Sound Periodontics

  • Periodontics
  • Federal Way, WA
  • NPI 1942943501
  NPD (past)
• Kang DDS & Suzuki DMD Ms FW PLLC

  dba Puget Sound Periodontics

  • Periodontics
  • Federal Way, WA
  • NPI 1588301428
  NPD (past)

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1568783579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13613 49TH AVENUE CT NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328014",
            "telephone_number": "484-213-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S 320TH ST",
            "address_2": "SUITE 330",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035400",
            "telephone_number": "206-400-0800",
            "fax_number": "253-874-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUZUKI",
        "first_name": "KEVIN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE 60108665",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS038148",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN 18124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgical Assoicates Northwest (SANW Pathology)
• Hilary Suthers
• Alex Sutton, D.D.S.
• Joseph A Sutton, PA-C
• Mary Jo Suver I, PTA
• Wayne Etnyre Svoboda, DDS
• Zoey Swager, LMP
• Scott R Swaim, LMHC
• Sheri Lynn Swan, LMP
• Frans G. Swart, MD

• Periodontics in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.