CLINT T. WORTON, DDS, PS (NPI# 1245485333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245485333 |
| Entity Type | Organization |
| Organization Name | CLINT T. WORTON, DDS, PS |
| Other Organization Name | KIRKLAND CHILDREN'S DENTISTRY |
| Practice Address |
620 Kirkland Way Suite 102 Kirkland WA 98033-6021 |
| Practice Telephone | 4258222500 |
| Practice Fax Number | 4258222599 |
| Mailing Telephone | 4258222500 |
| Mailing Fax Number | 4258222599 |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |
| Authorized Official Name | DR. CLINT WORTON (PRESIDENT) |
| Authorized Official Telephone | 4258222500 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DE 8714 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kirkland Children's Dentistry | Doing Business As Name - Organization |
| Street Address |
620 KIRKLAND WAY SUITE 102 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98033-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679515142 | Ioana M Diaconu | Psychiatry & Neurology | 620 Kirkland Way, 200, Kirkland, WA 98033-6021 | 2006-06-11 |
| 1174881759 | Aimee Kong Dds Pllc | Dentist | 620 Kirkland Way, Suite 102, Kirkland, WA 98033-6021 | 2012-05-02 |
| 1336407618 | Heather L Hansen | Specialist | 620 Kirkland Way, Suite 105, Kirkland, WA 98033-6021 | 2012-04-24 |
| 1225303035 | Andrea M Hood | Specialist | 620 Kirkland Way, Suite 105, Kirkland, WA 98033-6021 | 2012-03-12 |
| 1982910410 | Aimee L Kong | Dentist | 620 Kirkland Way, Suite 102, Kirkland, WA 98033-6021 | 2010-08-22 |
| 1508006362 | Kelly Lynn Rundle | Counselor | 620 Kirkland Way, Suite 200, Kirkland, WA 98033-6021 | 2009-03-05 |
| 1023207156 | Ioana Diaconu, Md, Ps | Psychiatry & Neurology | 620 Kirkland Way, 200, Kirkland, WA 98033-6021 | 2007-10-15 |
| 1659568541 | Adam R Rosen, Md, Ps | Psychiatry & Neurology | 620 Kirkland Way, 200, Kirkland, WA 98033-6021 | 2007-09-25 |
| 1326233495 | Elizabeth Shields | Counselor | 620 Kirkland Way, Suite 200, Kirkland, WA 98033-6021 | 2007-09-11 |
| 1104043538 | Mark M Travers | Chiropractor | 620 Kirkland Way, Ste 105, Kirkland, WA 98033-6021 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584826 | Raquel Maria Reyes | Interpreter | 11205 Ne 62nd St., Kirkland, WA 98033 | 2020-10-02 |
| 1588146468 | Lake Washington Family Chiropractic, Pllc | Chiropractor | 816 6th Street South, 816 6th Street South, Kirkland, WA 98033 | 2018-09-06 |
| 1316463557 | Tony Jia Ly | Pharmacist | 7224 120th Ave Ne, Kirkland, WA 98033 | 2017-08-18 |
| 1003356403 | Eden Home Health of King County, LLC | Home Health | 733 7th Avenue, Suite 110, Kirkland, WA 98033 | 2017-03-03 |
| 1184170763 | Kirkland Family Dentistry | Dentist | 1715 Market St #104, Kirkland, WA 98033 | 2016-09-01 |
| 1144688565 | Kamala Psychology and Yoga LLC | Psychologist | 603 4th Ave Ste 101, Kirkland, WA 98033 | 2016-01-30 |
| 1245695352 | Ron Massey | Massage Therapist | 11406 Ne 112th St, Kirkland, WA 98033 | 2015-12-17 |
| 1194106039 | John Pham | Internal Medicine | 9426 116th Ave Ne, Kirkland, WA 98033 | 2015-06-16 |
| 1992199970 | Garrison Patrick Wier | Ophthalmology | 625 4th Ave Ste 301, Kirkland, WA 98033 | 2015-03-26 |
| 1871993113 | Abigail Trajtenberg Loomis | Behavioral Analyst | 1003 7th Avenue, Kirkland, WA 98033 | 2014-08-22 |
| Find all providers in zip 98033 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972153922 | Lintakoon & Hansen Dds Pllc | Clinic/Center | 8532 122nd Ave Ne Ste B-1, Kirkland, WA 98033-5831 | 2019-09-11 |
| 1225480155 | Barbara S Ireland Dds Ps | Clinic/Center | 5808 Lake Washington Blvd Ne, #101, Kirkland, WA 98033-7350 | 2016-07-03 |
| 1962729889 | Pamela N Sursely Dds, Pllc | Clinic/Center | 12911 120th Ave Ne Ste F200, Kirkland, WA 98034-3026 | 2010-05-02 |
| 1760657274 | Yeung & Lee, Inc. | Clinic/Center | 12845 Ne 85th Street, Kirkland, WA 98033-8009 | 2008-04-25 |
| 1740889849 | Alaleh Moazami Dmd Pllc | Clinic/Center | 7315 Ne 141st St, Kirkland, WA 98034-9739 | 2020-10-20 |
| 1063064954 | Kirkland Premier Dentistry | Clinic/Center | 10601 Ne 68th St, Kirkland, WA 98033-7054 | 2019-07-11 |
| 1346607694 | Wang and Amini Dds,dmd,md,pllc | Clinic/Center | 13127 121st Way Ne, Kirkland, WA 98034-3051 | 2016-01-18 |
| 1639542103 | Evergreen Dental Group | Clinic/Center | 11800 Ne 128th St Ste 440, Kirkland, WA 98034-7299 | 2015-11-05 |
| 1376964163 | Lee and Yeung, Ps | Clinic/Center | 12845 Ne 85th St, Kirkland, WA 98033-8009 | 2013-12-20 |
| 1972840718 | Rosanne P. Coluccio,d.d.s.,ps | Clinic/Center | 9800 Ne 120th Pl, Kirkland, WA 98034-4220 | 2013-01-14 |
| Find all providers in KIRKLAND | ||||
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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.