Kirkland Premier Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009084 Issued in WA

Legal business name

KIRKLAND PREMIER DENTISTRY LLC

Practice address

10601 NE 68TH St
Kirkland, WA 98033-7054

Phone

(425) 284-3881

Fax

(425) 284-3882

NPI assigned

Jun 17, 2014

Organization subpart

No

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

Authorized official

Name

Peter Wong, DDS

Title

Owner

Phone

(425) 284-3881

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1700290798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6298 167TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065645",
            "telephone_number": "425-284-3881",
            "fax_number": "425-284-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 NE 68TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337054",
            "telephone_number": "425-284-3881",
            "fax_number": "425-284-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKLAND PREMIER DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-284-3881",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirkland Life Chiropractic, P.S.
• Kirkland Memory Care, LLC
• Kirkland Natural Health
• Kirkland Physical Therapy, Inc., P.S.
• Kirkland Premier Dentistry
• Kirkland Primary Care
• Kirkland Rheumatology LLC
• Kirkland Smiles Dental Care
• Kirkland Spine and Wellness, P.S
• Kirkland Totem Lake Chiropractic

• General Practice Dentistry in Kirkland, WA
• Providers in Kirkland, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.