Active NPI
Kenneth K Kais, D.D.S.
- General Practice Dentistry
- Tacoma, WA
National Provider Identifier
1659540326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8038
- Practice address
- 1101 Yakima Ave
Denturist Program
Tacoma, WA 98405-4831 - Phone
- (253) 680-7314
- NPI assigned
- Feb 26, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8038 | WA | Primary |
Addresses
Primary practice location
1101 Yakima Ave
Denturist Program
Tacoma, WA 98405-4831
Mailing address
1101 Yakima Ave
Denturist Program
Tacoma, WA 98405-4831
Phone (253) 680-7314
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 |
|---|---|---|---|
| 8038 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bates Technical College | 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.
-
- Local Education Agency (LEA)
- Tacoma, WA
- NPI 1588986079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1659540326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 YAKIMA AVE",
"address_2": "DENTURIST PROGRAM",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054831",
"telephone_number": "253-680-7314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 YAKIMA AVE",
"address_2": "DENTURIST PROGRAM",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054831",
"telephone_number": "253-680-7314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAIS",
"first_name": "KENNETH",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-26",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "8038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
- Robert Anthony Kahns, PHARM.D.
- Jeffrey Bernal Kahrs, D.C.
- Amit Singh Kainth, M.D.
- Kaipuokaualoku, LLC
- Laura Sharon Kairuz, LICSW
- Kaiser Foundation Health Plan of Washington
- Kaiser Foundation Health Plan of Washington
- Kaiser Foundation Health Plan of Washington
- Kaiser Foundation Health Plan of Washington
- Kaiser Foundation Health Plan of Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.