Active NPI
Karen Zemplenyi, DDS, MD
- Oral and Maxillofacial Surgery (Dentist)
- Kirkland, WA
National Provider Identifier
1801289319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DE61002648
- Practice address
- 12330 120TH Ave NE
Kirkland, WA 98034-6926 - Phone
- (425) 821-7979
- NPI assigned
- Mar 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | MD61157248 | WA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | MDRE.ML.60875753 | WA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 60555334 | WA | |
| Surgery Physician | 208600000X | MD61157248 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DE61002648 | WA | Primary |
Addresses
Primary practice location
12330 120TH Ave NE
Kirkland, WA 98034-6926
Mailing address
12330 120TH Ave NE
Kirkland, WA 98034-6926
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: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 27, 2021 through Jul 27, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE61002648 | WA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 60555334 | WA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| MDRE.ML.60875753 | WA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| MD61157248 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Alaska Regional Health Consortium | Oral & Maxillofacial Surgery | Current | Accepting new patients |
| Knoff & Fettig, PS | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- karenz@direct-searhc.org
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Sitka, AK
- NPI 1720062524
Oral & Maxillofacial Surgery
-
- Oral and Maxillofacial Pathology Dentistry
- Kirkland, WA
- NPI 1528155686
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1801289319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12330 120TH AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980346926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12330 120TH AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980346926",
"telephone_number": "425-821-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEMPLENYI",
"first_name": "KAREN",
"credential": "DDS, MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-07",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "WA",
"license": "MD61157248",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "WA",
"license": "MDRE.ML.60875753",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "WA",
"license": "60555334",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD61157248",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "WA",
"license": "DE61002648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.