Active NPI
Kellie Whitcomb, R.D.H.
- Dental Hygienist
- Issaquah, WA
National Provider Identifier
1639545429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH60082963
- Practice address
- 2505 NW Alpine Crest Way
Issaquah, WA 98027-5490 - Phone
- (206) 818-1418
- Fax
- (425) 395-7414
- NPI assigned
- Aug 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH60082963 | WA | Primary |
Addresses
Primary practice location
2505 NW Alpine Crest Way
Issaquah, WA 98027-5490
Mailing address
2505 NW Alpine Crest Way
Issaquah, WA 98027-5490
Phone (206) 818-1418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH60082963 | WA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Dental Hygiene Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Issaquah, WA
- NPI 1447626239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439510400000",
"number": "1639545429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 NW ALPINE CREST WAY",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980275490",
"telephone_number": "206-818-1418",
"fax_number": "425-395-7414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 NW ALPINE CREST WAY",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980275490",
"telephone_number": "206-818-1418",
"fax_number": "425-395-7414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITCOMB",
"first_name": "KELLIE",
"credential": "R.D.H.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-14",
"last_updated": "2015-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "DH60082963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.