Active NPI
Kenneth Sawyer Negro, DDS, MS
- Pediatric Dentistry
- Bellingham, WA
National Provider Identifier
1821417361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE 60536747
- Practice address
- 1301 J St
Bellingham, WA 98225-2913 - Phone
- (360) 676-7130
- Fax
- (360) 676-1125
- NPI assigned
- Apr 14, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | DE 60536747 | WA | Primary |
Addresses
Primary practice location
1301 J St
Bellingham, WA 98225-2913
Mailing address
1301 J St
Bellingham, WA 98225-2913
Phone (360) 676-7130
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE 60536747 | WA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1821417361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 J ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982252913",
"telephone_number": "360-676-7130",
"fax_number": "360-676-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 J ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982252913",
"telephone_number": "360-676-7130",
"fax_number": "360-676-1125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEGRO",
"first_name": "KENNETH",
"middle_name": "SAWYER",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-14",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE 60536747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.