Kids Cavity Prevention Program Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

WA7925 Issued in WA

Legal business name

KIDS CAVITY PREVENTION PROGRAM INC.

Practice address

8 E Washington Ave Ste 202
Yakima, WA 98903-1683

Phone

(509) 949-3095

NPI assigned

Aug 11, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Susana Wells-Sandoval

Title

President

Phone

(509) 949-3095

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1659686848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 E WASHINGTON AVE STE 202",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989031683",
            "telephone_number": "509-949-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E WASHINGTON AVE STE 202",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989031683",
            "telephone_number": "509-949-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CAVITY PREVENTION PROGRAM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "WELLS-SANDOVAL",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-949-3095",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "WA7925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisha Khanal, PA-C
• Suneeta Khanwani, MD
• Kamran Khatri
• Shahriar Khezri, MD
• Janani Kidambi, M.D.
• Vivian Mbebui Kiffa
• Heather Killion
• Anatole S Kim, MD
• Henry Yunwoong Kim, MD
• Hye Ji Kim, PH60585288

• Dentist in Yakima, WA
• Providers in Yakima, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.