Active NPI
Kirk Ray Dahlke, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dupont, WA
National Provider Identifier
1891945358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 24234
- Practice address
- 1100 Station Dr Ste 281
Dupont, WA 98327-9777 - Phone
- (253) 912-9383
- NPI assigned
- Sep 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 24234 | TX | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 24234 | TX | Primary |
Addresses
Primary practice location
1100 Station Dr Ste 281
Dupont, WA 98327-9777
Mailing address
1100 Station Dr Ste 281
Dupont, WA 98327-9777
Phone (253) 912-9383
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24234 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dahlke Orthodontics LLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dupont, WA
- NPI 1245783190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1891945358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 STATION DR STE 281",
"city": "DUPONT",
"state": "WA",
"postal_code": "983279777",
"telephone_number": "253-912-9383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 STATION DR STE 281",
"city": "DUPONT",
"state": "WA",
"postal_code": "983279777",
"telephone_number": "253-912-9383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHLKE",
"first_name": "KIRK",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-22",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "24234",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "24234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dupont, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.