Organization Active NPI

David Kraayenbrink DDS, PLLC

  • Dental Clinic/Center
  • Snohomish, WA
National Provider Identifier
1861330060
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DAVID KRAAYENBRINK DDS, PLLC
Practice address
17432 Sr 9 Ste 202
Snohomish, WA 98296-8451
Phone
(360) 668-8855
Fax
(360) 668-8856
NPI assigned
Mar 23, 2026
Last updated
Mar 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
David Kraayenbrink, DDSNPI 1861817793
Title
Owner Dentist
Phone
(360) 668-8855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

17432 Sr 9 Ste 202
Snohomish, WA 98296-8451

Mailing address

17432 Sr 9 Ste 202
Snohomish, WA 98296-8451
Phone (360) 668-8855

National Provider Directory

National Provider Directory

Locations

17432 Sr 9
Ste 202
Snohomish, WA 98296
Phone (360) 668-8855

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1861330060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17432 SR 9 STE 202",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982968451",
            "telephone_number": "360-668-8855",
            "fax_number": "360-668-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17432 SR 9 STE 202",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982968451",
            "telephone_number": "360-668-8855",
            "fax_number": "360-668-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KRAAYENBRINK DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-22",
        "status": "A",
        "authorized_official_last_name": "KRAAYENBRINK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "360-668-8855",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.