Individual provider Active NPI

Caitlin Kemper, DMD

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1851063564
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61562941 Issued in WA
Practice address
1836 NW Market St
Seattle, WA 98107-3908
Phone
(206) 260-1217
NPI assigned
Sep 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS106727 CA
General Practice Dentistry 1223G0001X DDS106727 CA
General Practice Dentistry 1223G0001X 61562941 WA Primary

Addresses

Primary practice location

1836 NW Market St
Seattle, WA 98107-3908

Mailing address

6303B 22ND Ave NW
Seattle, WA 98107-2417
Phone (775) 997-8824

Other practice location 1

12840 Riverside Dr Ste 100
Studio City, CA 91607-3335
Phone (818) 766-6767

Other practice location 2

10505 W Pico Blvd
Los Angeles, CA 90064-2319
Phone (310) 475-0617

Other practice location 3

1234 7th St Ste 1
Santa Monica, CA 90401-1614
Phone (310) 899-9432

Other practice location 4

10719 Riverside Dr Unit 408
Toluca Lake, CA 91602-2312
Phone (818) 508-7272

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

LicenseStateTypeSpecialty
DDS106727CAMDGeneral Practice Dentistry
61562941WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsay Costantino, DDS Inc General Practice CurrentSince Feb 2, 2025 Accepting new patients
J. Sands, D.D.S. Inc. Dentist CurrentSince Oct 1, 2021 Accepting new patients
Dillon Costantino Dental Partnership General Practice CurrentSince Apr 1, 2023 Accepting new patients
Milton G Brandino DDS Inc General Practice Past Accepting new patients

Locations

10505 W Pico Blvd
Los Angeles, CA 90064
Phone (310) 475-0617

12840 Riverside Dr
Ste 100
Studio City, CA 91607
Phone (818) 766-6767

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1851063564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303B 22ND AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981072417",
            "telephone_number": "775-997-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 NW MARKET ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073908",
            "telephone_number": "206-260-1217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12840 Riverside Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Studio City",
            "state": "CA",
            "postal_code": "916073335",
            "country_code": "US",
            "telephone_number": "818-766-6767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10505 W Pico Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900642319",
            "country_code": "US",
            "telephone_number": "310-475-0617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1234 7th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904011614",
            "country_code": "US",
            "telephone_number": "310-899-9432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10719 Riverside Dr Unit 408",
            "address_purpose": "LOCATION",
            "city": "Toluca Lake",
            "state": "CA",
            "postal_code": "916022312",
            "country_code": "US",
            "telephone_number": "818-508-7272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMPER",
        "first_name": "CAITLIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS106727",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS106727",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "61562941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.