K. a. Maulding DDS, P.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DE 0000881 Issued in WA

Legal business name

K. A. MAULDING DDS, P.S.

Practice address

604 Meridian S
Puyallup, WA 98371-5998

Phone

(253) 845-7911

Fax

(253) 845-1475

NPI assigned

Aug 24, 2010

Last updated

Oct 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kai A Maulding, DDS

Title

Owner

Phone

(253) 845-7911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1831405158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MERIDIAN S",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715998",
            "telephone_number": "253-845-7911",
            "fax_number": "253-845-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 MERIDIAN S",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715998",
            "telephone_number": "253-845-7911",
            "fax_number": "253-845-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. A. MAULDING DDS, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "MAULDING",
        "authorized_official_first_name": "KAI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-845-7911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 0000881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.