Active NPI
Jamie Ching I Kuo, DDS
- Dentist
- Bellevue, WA
National Provider Identifier
1992872949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00007073
- Practice address
- 626 120TH Ave NE Ste B210
Bellevue, WA 98005-3038 - Phone
- (425) 453-1547
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE00007073 | WA | Primary |
Addresses
Primary practice location
626 120TH Ave NE Ste B210
Bellevue, WA 98005-3038
Mailing address
6950 NE Campus Way
Hillsboro, OR 97124-5611
Phone (503) 952-2125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992872949 | Other | WA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150519001389 | WA | Order and Referring Only - Other (Non-Physician) | 5294055000 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430524800000",
"number": "1992872949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6950 NE CAMPUS WAY",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971245611",
"telephone_number": "503-952-2125",
"fax_number": "503-526-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 120TH AVE NE STE B210",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980053038",
"telephone_number": "425-453-1547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUO",
"first_name": "JAMIE",
"middle_name": "CHING I",
"name_prefix": "Ms.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2015-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00007073",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1992872949",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.