Kendal Allman-Bailey, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60521019 Issued in WA

Practice address

5101 N Pearl St Ste B
Ruston, WA 98407-3212

Phone

(253) 302-3980

NPI assigned

Sep 23, 2009

Last updated

Sep 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ajaipal Singh Sekhon, DDS, PLLC

  dba Defiance Dental Studio

  • General Practice Dentistry
  • Tacoma, WA
  • NPI 1528503141
  NPD (past)

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1720312804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 62ND AVENUE CT NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983356694",
            "telephone_number": "805-637-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 N PEARL ST STE B",
            "city": "RUSTON",
            "state": "WA",
            "postal_code": "984073212",
            "telephone_number": "253-302-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLMAN-BAILEY",
        "first_name": "KENDAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60521019",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ekaette Amanda Angell, RN
• James Alphonse Benoit, LMHC, MHP
• Tessa Carpenter, MSW
• City of Ruston (Ruston Fire Department)
• DBT Center of Tacoma PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.