David a. Killen, DDS, PS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE00007721 Issued in WA

Legal business name

DAVID A. KILLEN, DDS, PS

Practice address

2020 Maltby Rd Ste 9
Bothell, WA 98021-8669

Phone

(425) 481-8280

NPI assigned

Aug 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. David Anthony Killen, DDSNPI 1215018429

Title

Ceo

Phone

(425) 481-8280

Specialties & licenses 1

Addresses

Other names 1

• SmileDental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David A Killen, D.D.S.,

  • General Practice Dentistry
  • Bothell, WA
  • NPI 1215018429
  NPD (past) Authorized official

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1831644269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 MALTBY RD STE 9",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218669",
            "telephone_number": "425-481-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 MALTBY RD STE 9",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218669",
            "telephone_number": "425-481-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. KILLEN, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "KILLEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-481-8280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE00007721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmileDental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vianny Daniels, CBT
• Luke Dao, PT, DPT
• Tara Elizabeth Darrow, BT
• Shibani Datta
• Danielle Nicole Dauria
• Chanbotom Davies, PHARMACY TECH
• Jane Daniela Davis
• Emilie Jayne Dawson, DDS
• Julie Dawson, DDS
• Deanna Marshan Dean, LMP

• Dental Clinic/Center in Bothell, WA
• Providers in Bothell, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.