Organization Active NPI

K.Sawyer Negro PLLC

  • Pediatric Dentistry
  • Bellingham, WA
National Provider Identifier
1720507205
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
60536747 Issued in WA
Legal business name
K.SAWYER NEGRO PLLC
Practice address
1301 J St
Bellingham, WA 98225-2913
Phone
(360) 676-7130
Fax
(360) 676-1125
NPI assigned
Sep 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Kenneth Sawyer Negro, DDS, MSD
Title
Pediatric Dentist
Phone
(206) 963-8028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 60536747 WA Primary

Addresses

Primary practice location

1301 J St
Bellingham, WA 98225-2913

Mailing address

1301 J St
Bellingham, WA 98225-2913
Phone (360) 676-7130

Other identifiers 1

IdentifierTypeStateIssuer
2036602MedicaidWA

Other names 2

  • Bellingham Pediatric Dentistry Doing business as
  • Salish Sea Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720507205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 J ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252913",
            "telephone_number": "360-676-7130",
            "fax_number": "360-676-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 J ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252913",
            "telephone_number": "360-676-7130",
            "fax_number": "360-676-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.SAWYER NEGRO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NEGRO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "SAWYER",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "206-963-8028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "60536747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2036602",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellingham Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salish Sea Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.