Individual provider Active NPI

Katie M Storey, DMD

  • General Practice Dentistry
  • Richland, WA
National Provider Identifier
1609957794
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7954 Issued in WA
Practice address
660 Swift Blvd Ste C
Richland, WA 99352-3560
Phone
(509) 946-9025
Fax
(509) 946-3779
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7954 WA Primary
Dentist 122300000X DENT.DE.00007954 WA

Addresses

Primary practice location

660 Swift Blvd Ste C
Richland, WA 99352-3560

Mailing address

804 S Washington St
Kennewick, WA 99336-5605
Phone (509) 582-9185

Other practice location 1

6335 W. Rio Grande Ave
Kennewick, WA 99336
Phone (509) 581-6854

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kstorey54454@yvfwc.direct-ci.com Direct Yakima Valley Farm Workers Clinic

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160805002219 WA Order and Referring Only - DentistPractitioner - Dentist 3870887300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7954WAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1609957794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 S WASHINGTON ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365605",
            "telephone_number": "509-582-9185",
            "fax_number": "509-586-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 SWIFT BLVD STE C",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523560",
            "telephone_number": "509-946-9025",
            "fax_number": "509-946-3779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6335 W. Rio Grande Ave",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "99336",
            "country_code": "US",
            "telephone_number": "509-581-6854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOREY",
        "first_name": "KATIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "7954",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DENT.DE.00007954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kstorey54454@yvfwc.direct-ci.com",
            "affiliation": "Y",
            "endpointDescription": "YVFWC Direct Email Address",
            "affiliationName": "Yakima Valley Farm Workers Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6335 W. Rio Grande Ave",
            "city": "Kennewick",
            "state": "WA",
            "country_code": "US",
            "postal_code": "99336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.