Kai A Maulding, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8811 Issued in WA

Practice address

1212 4TH Ave E
Olympia, WA 98506-4212

Phone

(360) 357-6220

Fax

(360) 352-5412

NPI assigned

Apr 20, 2010

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

Other identifiers 1

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": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1972829661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 4TH AVE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064212",
            "telephone_number": "360-357-6220",
            "fax_number": "360-352-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 4TH AVE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064212",
            "telephone_number": "360-357-6220",
            "fax_number": "360-352-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULDING",
        "first_name": "KAI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "8811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5042148",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodney Shigeo Matsubara, M.D.
• Benjamin Craig Matthews, ARNP
• David Lee Matthews, M.D.
• Maughan Prosthetic & Orthotic South, Inc.
• Megan Mauldin, BS
• Daniele Brittney Maurer
• Lauren Noelle Maurer, LMP
• Michael Paul Maurice, R.PH.
• Linda Ann Maxey-Wong, O.D.
• Kelsie Ann Maxwell

• General Practice Dentistry in Olympia, WA
• Providers in Olympia, 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 Apr 20, 2010; 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.