Michael Brian Kast, LD

Primary specialty

DenturistTaxonomy code 122400000X

License

DN60939854 Issued in WA

Practice address

228 W 1St St Ste X
Port Angeles, WA 98362-2639

Phone

(360) 477-4768

NPI assigned

Mar 17, 2023

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1609578418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W 1ST ST STE X",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622639",
            "telephone_number": "360-477-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W 1ST ST STE X",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622639",
            "telephone_number": "360-477-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAST",
        "first_name": "MICHAEL",
        "middle_name": "BRIAN",
        "credential": "LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN60939854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Michele Kalakosky
• Kimberly Marie Kalfas, ND
• Sarah Marie Kalning, LMT
• David John Kanters, ARNP
• Michelle Luana Kaser
• Wahji Kasten, N.D., LAC
• Edward Elias Katime, MD
• Hollie Rynerson Kaufman, ARNP
• Shauna Marie Keeley, DPT
• Lynn D Keenan, PHD., LMP

• Denturist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Denturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.