Kirby Nelson Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE00007702 Issued in WA

Legal business name

KIRBY NELSON ORTHODONTICS

Practice address

26250 238TH LN SE Ste 102
Maple Valley, WA 98038-4000

Phone

(425) 413-2121

Fax

(425) 358-7290

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kirby Martin Nelson, DDSNPI 1508570623

Title

President

Phone

(425) 413-2121

Specialties & licenses 1

Addresses

Other names 1

• Kirby M Nelson DDS PS Former legal business name

Locations

Practitioners 1

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

• Kirby Martin Nelson, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Maple Valley, WA
  • NPI 1508570623
  NPD Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1861586083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26250 238TH LN SE STE 102",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980384000",
            "telephone_number": "425-413-2121",
            "fax_number": "425-358-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26250 238TH LN SE STE 102",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980384000",
            "telephone_number": "425-413-2121",
            "fax_number": "425-358-7290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2817 Griffin Ave",
            "address_purpose": "LOCATION",
            "city": "Enumclaw",
            "state": "WA",
            "postal_code": "980222322",
            "country_code": "US",
            "telephone_number": "425-413-2121",
            "fax_number": "425-358-7290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIRBY NELSON ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-413-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00007702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirby M Nelson DDS PS",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kirby M Nelson DDS PS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hira Khalid, DDS
• Sade Khorami
• Rebekah Chan Kim
• King County Fire Protection District 43
• Boyd A Kinney, LMP
• Tiffani Kittilstved, M.S., CCC-SLP
• Emily Joleen Klibowitz, DPT
• Larry G. Knauss, PHD
• Melissa N Knott
• Ryan T Koenig, DMD

• Orthodontics and Dentofacial Orthopedics Dentistry in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.