Individual provider Active NPI

Lisa A Newkirk, DDS

  • Dentist
  • Vancouver, WA
National Provider Identifier
1881790780
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00008735 Issued in WA
Practice address
16335 NE 23Rd St
Vancouver, WA 98684-8664
Phone
(360) 718-8861
Fax
(360) 718-2704
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00008735 WA Primary

Addresses

Primary practice location

16335 NE 23Rd St
Vancouver, WA 98684-8664

Mailing address

16335 NE 23Rd St
Vancouver, WA 98684-8664
Phone (360) 718-8861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160415001281 WA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3274831714

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE00008735WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Ae Newkirk DDS PLLC Dentist Current Accepting new patients

Locations

16335 NE 23rd St
Vancouver, WA 98684
Phone (360) 718-8861

Organizations & group practices 1

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1881790780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16335 NE 23RD ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848664",
            "telephone_number": "360-718-8861",
            "fax_number": "360-718-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16335 NE 23RD ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848664",
            "telephone_number": "360-718-8861",
            "fax_number": "360-718-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWKIRK",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00008735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.