NPIMap

Organization Active NPI

Susan a. Kiraly, DDS, PS

  • Dental Clinic/Center
  • Friday Harbor, WA
National Provider Identifier
1962657429
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7617 Issued in WA
Legal business name
SUSAN A. KIRALY, DDS, PS
Practice address
815 Spring St
Friday Harbor, WA 98250-9311
Phone
(360) 378-5550
Fax
(360) 370-5192
NPI assigned
Nov 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Dr. Susan Alexis Kiraly, DDSNPI 1336237510
Title
Director
Phone
(360) 378-5550

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 7617 WA Primary

Addresses

Primary practice location

815 Spring St
Friday Harbor, WA 98250-9311

Mailing address

815 Spring St
Friday Harbor, WA 98250-9311
Phone (360) 378-5550

Other identifiers 1

IdentifierTypeStateIssuer
602263331OtherWASTATE UNIFIED BUSINESS ID

Other names 1

  • Spring Street Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

815 Spring St
Friday Harbor, WA 98250
Phone (360) 378-5550

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1962657429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SPRING ST",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982509311",
            "telephone_number": "360-378-5550",
            "fax_number": "360-370-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SPRING ST",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982509311",
            "telephone_number": "360-378-5550",
            "fax_number": "360-370-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN A. KIRALY, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "KIRALY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-378-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "7617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE UNIFIED BUSINESS ID",
            "identifier": "602263331",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Street Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Friday Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.