Kevin Michael Rahn, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61397387 Issued in WA

Practice address

31 NE State Route 300 Ste 200
Belfair, WA 98528-8668

Phone

(360) 377-3776

NPI assigned

Mar 7, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1972250249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 WINCHESTER RD",
            "city": "PETERSBURG",
            "state": "PA",
            "postal_code": "166692820",
            "telephone_number": "814-571-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 NE STATE ROUTE 300 STE 200",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985288668",
            "telephone_number": "360-377-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHN",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-07",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61397387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Proudfoot, M.D., M.P.H.
• Providence Health & Services Washington
• Providence Heath & Services - Washington
• Public Hospital District No.1 of Mason County Washington
• Public Hospital District No.1 of Mason County Washington
• Rekamuhs PLLC
• Christy Rice, LMP
• Yolanda Susan Ruffu, O.T.
• Safeway Inc
• Savanna Leigh Sam, EPDH/RDH

• General Practice Dentistry in Belfair, WA
• Providers in Belfair, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.