Individual provider Active NPI

Kale Eckland, DDS

  • Dentist
  • Kirkland, WA
National Provider Identifier
1790005049
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE 60145264 Issued in WA
Practice address
11605 132ND Ave NE
Kirkland, WA 98034-8505
Phone
(425) 739-8130
Fax
(425) 739-8292
NPI assigned
Jun 9, 2010
Last updated
Jun 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE 60145264 WA Primary

Addresses

Primary practice location

11605 132ND Ave NE
Kirkland, WA 98034-8505

Mailing address

11605 132ND Ave NE
Kirkland, WA 98034-8505
Phone (425) 739-8130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 12, 2016 through Jul 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE 60145264WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Eckland and Eckland PLLC Dentist CurrentSince Sep 25, 2022 Accepting new patients
Lake Washington Technical College Dental Clinic Past Accepting new patients

Locations

3430 Colby Ave
Everett, WA 98201
Phone (425) 259-6551

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1790005049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 132ND AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980348505",
            "telephone_number": "425-739-8130",
            "fax_number": "425-739-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 132ND AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980348505",
            "telephone_number": "425-739-8130",
            "fax_number": "425-739-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKLAND",
        "first_name": "KALE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 60145264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.