Active NPI
Kazuma Kitagaito, DMD, MSE, MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Kirkland, WA
National Provider Identifier
1801420765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DE61009484
- Practice address
- 13110 NE 85TH St Ste 106-B
Kirkland, WA 98033-8002 - Phone
- (425) 300-6399
- Fax
- (425) 300-6398
- NPI assigned
- Feb 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DE61009484 | WA | Primary |
Addresses
Primary practice location
13110 NE 85TH St Ste 106-B
Kirkland, WA 98033-8002
Mailing address
13110 NE 85TH St Ste 106-B
Kirkland, WA 98033-8002
Phone (425) 300-6399
Other practice location 1
1400 N Laventure Rd
Mount Vernon, WA 98273-2766
Phone (360) 542-8901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE61009484 | WA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaz Kitagaito DMD MSD Mse PLLC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
13110 NE 85th St
Ste 106B
Kirkland, WA 98033
Phone (425) 300-6399
300 Lenora St
Seattle, WA 98121
Phone (206) 623-7671
Interoperability endpoints
- kkitagaito487113@direct.multicare.org
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Kirkland, WA
- NPI 1710767967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1801420765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13110 NE 85TH ST STE 106-B",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980338002",
"telephone_number": "425-300-6399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13110 NE 85TH ST STE 106-B",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980338002",
"telephone_number": "425-300-6399",
"fax_number": "425-300-6398"
}
],
"practiceLocations": [
{
"address_1": "1400 N Laventure Rd",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "982732766",
"country_code": "US",
"telephone_number": "360-542-8901",
"fax_number": "360-542-8790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KITAGAITO",
"first_name": "KAZUMA",
"name_prefix": "Dr.",
"credential": "DMD, MSE, MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-28",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "WA",
"license": "DE61009484",
"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 Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.