NPIMap

Organization Active NPI

Allen R Kirkpatrick DDS

  • Preferred Provider Organization
  • Colfax, WA
National Provider Identifier
1669927133
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
DE00005276 Issued in WA
Legal business name
ALLEN R KIRKPATRICK DDS
Practice address
116 N Main St
Colfax, WA 99111-1801
Phone
(509) 397-4077
Fax
(509) 397-6766
NPI assigned
Aug 24, 2016
Last updated
Aug 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Allen Kirkpatrick, DDSNPI 1053404178
Title
Owner
Phone
(509) 397-4077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X DE00005276 WA Primary

Addresses

Primary practice location

116 N Main St
Colfax, WA 99111-1801

Mailing address

116 N Main St
Colfax, WA 99111-1801
Phone (509) 397-4077

National Provider Directory

National Provider Directory

Locations

116 N Main St
Colfax, WA 99111
Phone (509) 397-4077

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1669927133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "991111801",
            "telephone_number": "509-397-4077",
            "fax_number": "509-397-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "991111801",
            "telephone_number": "509-397-4077",
            "fax_number": "509-397-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN R KIRKPATRICK DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-397-4077",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "DE00005276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colfax, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.