Individual provider Active NPI

Kay-Wan Kevin Aminzadeh, DDS

  • Prosthodontics
  • Spokane Valley, WA
National Provider Identifier
1952289753
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DE61632478 Issued in WA
Practice address
16201 E Indiana Ave Ste 3240
Spokane Valley, WA 99216-2838
Phone
(509) 934-4584
NPI assigned
Aug 21, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DE61632478 WA Primary

Addresses

Primary practice location

16201 E Indiana Ave Ste 3240
Spokane Valley, WA 99216-2838

Mailing address

16201 E Indiana Ave Ste 3240
Spokane Valley, WA 99216-2838
Phone (509) 934-4584

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
DE61632478WAMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1952289753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16201 E INDIANA AVE STE 3240",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162838",
            "telephone_number": "509-934-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 E INDIANA AVE STE 3240",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162838",
            "telephone_number": "509-934-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMINZADEH",
        "first_name": "KAY-WAN",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE61632478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.