Kathy Sundin

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH 60056765 Issued in WA

Practice address

1201 SE Tech Center Dr Ste 150
Vancouver, WA 98683-5523

Phone

(360) 892-7107

NPI assigned

Sep 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathy Anne Sundin Former name

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": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1619425956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 E 18TH ST",
            "city": "LA CENTER",
            "state": "WA",
            "postal_code": "986295587",
            "telephone_number": "360-263-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SE TECH CENTER DR STE 150",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835523",
            "telephone_number": "360-892-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDIN",
        "first_name": "KATHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH 60056765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "SUNDIN",
            "middle_name": "ANNE",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Sun, PHARMD
• Johnny Wei-Ting Sun, M.D.
• Taylor Meadow Sun, LMT
• John Robert Sundell, D.D.S.
• Sundew Dental
• Michelle Sundin, RN
• Sara Sundstrom, CDCES, MS, RDN, CDN
• Jeffrey Sunshine, MD
• Judy C Sunshine, RC
• Kathleen S Sunshine, MD

• Dental Hygienist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.