DR. MICAH BOVENKAMP (NPI# 1134757487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134757487 |
| Entity Type | Individual |
| Full Name | DR. MICAH BOVENKAMP |
| Credential | DDS |
| Practice Address |
6222 Ne 74th St Seattle WA 98115-8158 |
| Mailing Address |
6222 Ne 74th St # 354915 Seattle WA 98115-8158 |
| Practice Telephone | 2065435800 |
| Mailing Telephone | 2065437906 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DR61043609 | WA | Dental Providers |
| Street Address |
6222 NE 74TH ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98115-8158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275645905 | Melanie Angela Perry | Dentist | 6222 Ne 74th St, Seattle, WA 98115-8158 | 2006-08-31 |
| 1942863196 | Tessa Holmes | Student in an Organized Health Care Education/Training Program | 6222 Ne 74th St, Seattle, WA 98115-8158 | 2019-04-15 |
| 1487217626 | Walter Vladimir Fuentes | Student in an Organized Health Care Education/Training Program | 6222 Ne 74th St, Seattle, WA 98115-8158 | 2019-04-14 |
| 1649776766 | Kathie H Wang | Dentist | 6222 Ne 74th St, Seattle, WA 98115-8158 | 2018-04-05 |
| 1386025013 | Becky Ann Olacke | Dentist | 6222 Ne 74th St, Seattle, WA 98115-8158 | 2015-06-18 |
| 1790171312 | Daniel Dupuis | Dentist | 6222 Ne 74th St, Seattle, WA 98115-8158 | 2015-04-10 |
| 1447670740 | Ketan Jumani | Dentist | 6222 Ne 74th St, Seattle, WA 98115 | 2014-04-25 |
| 1588911127 | Johan Karel Aps | Dentist | 6222 Ne 74th St, The Center for Pediatric Dentistry, Magnuson Park, Seattle, WA 98115-8158 | 2012-08-14 |
| 1902161771 | Janice Kieu Tien Duong | Dentist | 6222 Ne 74th St, Seattle, WA 98115-8158 | 2012-07-09 |
| 1164789061 | Graham L Hearn | Dentist | 6222 Ne 74th St, Seattle, WA 98115-8158 | 2012-04-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
| 1396387346 | Catherine Erickson | Social Worker | 6527 - 21st Ave Ne, Suite 4, Seattle, WA 98115 | 2019-10-10 |
| 1275003857 | Margaret Ellen Haber | Social Worker | 2400 Ne 95th Street, Seattle, WA 98115 | 2018-11-27 |
| 1528584513 | Katharine Huntington Poinier | Registered Nurse | 8521 5th Avenue Ne, Seattle, WA 98115 | 2017-08-21 |
| 1750802229 | Cody David Pollock | Student in an Organized Health Care Education/Training Program | 1959 Northeast Pacific Street, Box 357115 University of Washington Medical Center, Seattle, WA 98115 | 2017-07-05 |
| 1144759416 | Amber Padron | Behavior Technician | 6537 Oswego Place Ne, Apt 8, Seattle, WA 98115 | 2017-06-08 |
| 1639603509 | Matthew Vanwinkle | Physical Therapist | 3290 Ne 65th Street, Unit 101, Seattle, WA 98115 | 2017-04-17 |
| 1538607650 | Karen Van Vuren | Registered Nurse | 204 Ne 94h St, Seattle, WA 98115 | 2017-02-09 |
| 1992251599 | Anders Kobbevik | Massage Therapist | 1200 Ne 65th Street, Seattle, WA 98115 | 2016-09-01 |
| 1295288181 | Brandon Marsicek | Counselor | 419 Ne 71st St Apt 407, Seattle, WA 98115 | 2016-07-27 |
| Find all providers in zip 98115 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982057030 | Jenn-yih Lin Dds Ms Pllc | Dentist | 10202 5th Ave Ne Ste 101, Seattle, WA 98125-7472 | 2016-07-13 |
| 1821400433 | Loan Nguyen, Dds Pllc | Dentist | 5101 25th Ave Ne, Suite 6, Seattle, WA 98105-3225 | 2014-05-30 |
| 1790032506 | Brenda Huynh | Dentist | 4115 University Way Ne Ste 206, Seattle, WA 98105-6257 | 2012-08-10 |
| 1265788590 | Little Pearls Kids Dentistry | Dentist | 1542 Nw 63rd St, Seattle, WA 98107-2338 | 2012-07-24 |
| 1194089086 | Linsenmayer and Merchant, Pllc | Dentist | 945 Elliott Ave W Ste 101, Seattle, WA 98119-3607 | 2012-06-26 |
| 1750648192 | Brianne Butler | Dentist | 4235 Brooklyn Ave Ne Apt 405, Seattle, WA 98105-5920 | 2012-04-23 |
| 1104117555 | Kari Ann Sims | Dentist | 11744 Bartlett Ave Ne, Seattle, WA 98125-5835 | 2011-04-20 |
| 1154646198 | Troy C, Hull, Dmd, Ps | Dentist | 6900 E Green Lake Way N, Suite H, Seattle, WA 98115-5480 | 2010-04-01 |
| 1477787141 | Stephen J. Stuehling, D.m.d., Pllc | Dentist | 703 34th Ave, Seattle, WA 98122-5131 | 2009-05-11 |
| 1053585109 | Anna Forsyth | Dentist | 1400 Nw Market St Ste 101, Seattle, WA 98107 | 2008-04-19 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.