Kulshan Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

KULSHAN ORAL SURGERY

Practice address

2210 Kulshan View Dr Ste 104
Mount Vernon, WA 98273-2779

Phone

(360) 424-4848

NPI assigned

Jan 14, 2021

Organization subpart

No

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

Authorized official

Name

Matthew Yeh

Title

Member

Phone

(360) 441-3999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1801485818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 WASHINGTON ST",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982489183",
            "telephone_number": "360-441-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 KULSHAN VIEW DR STE 104",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732779",
            "telephone_number": "360-424-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULSHAN ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "YEH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-441-3999"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Oren Krell, RPH
• Jessica Kresl, OTR/L
• Noreen Lynn Krymski
• Chia-Jen Kuan, M.D., PHD
• Marcia Rene Kucera, ARNP
• Kulshan Pediatric Dentistry
• Emily Kunz-Brockman, DO
• Lou Kupka-Schutt, PHD, RD
• Tanya R Kutz, LMP
• Laboratory Corporation of America

• Oral and Maxillofacial Surgery (Dentist) in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.