Individual provider Active NPI

Karen Zemplenyi, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Kirkland, WA
National Provider Identifier
1801289319
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DE61002648 Issued in WA
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

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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)Group: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
DE61002648WAMDOral and Maxillofacial Surgery (Dentist)
60555334WAMDOral & Maxillofacial Surgery (D.M.D.)
MDRE.ML.60875753WAMDOral & Maxillofacial Surgery (D.M.D.)
MD61157248WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium Oral & Maxillofacial Surgery Current Accepting new patients
Knoff & Fettig, PS Single Specialty PastSince Jul 17, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.