Organization Active NPI

Little Big Kids Pediatric Dentistry

  • Dentist
  • Yakima, WA
National Provider Identifier
1629786603
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LITTLE BIG KIDS PEDIATRIC DENTISTRY
Practice address
1731 S 1St St #500
Yakima, WA 98901-3796
Phone
(509) 955-4853
Fax
(509) 955-8848
NPI assigned
Nov 9, 2022
Organization subpart
Yes
Parent organization
LITTLE BIG KIDS PEDIATRIC DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Christina Jean Dorton
Title
Office Manager
Phone
(509) 771-2155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1731 S 1St St #500
Yakima, WA 98901-3796

Mailing address

800 N Stratford Rd
Moses Lake, WA 98837-1512
Phone (509) 765-2255

Other identifiers 1

IdentifierTypeStateIssuer
2058522MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yakima@littlebkpd.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Little Big Kids Pediatric Dentistry2 organizations share this tax ID, including this one
Part of
Little Big Kids Pediatric Dentistry

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1731 S 1st St
Ste 500
Yakima, WA 98901

Interoperability endpoints

  • Direct secure messaging: info@littlebkpd.com

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1629786603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N STRATFORD RD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371512",
            "telephone_number": "509-765-2255",
            "fax_number": "509-765-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 S 1ST ST #500",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989013796",
            "telephone_number": "509-955-4853",
            "fax_number": "509-955-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE BIG KIDS PEDIATRIC DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LITTLE BIG KIDS PEDIATRIC DENTISTRY",
        "enumeration_date": "2022-11-09",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "DORTON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-771-2155"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2058522",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yakima@littlebkpd.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Info",
            "address_1": "1731 S 1st St Ste 500",
            "city": "Yakima",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989013796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.