MR. MICHAEL KEVIN JOE (NPI# 1306146659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306146659 |
Entity Type | Individual |
Full Name | MR. MICHAEL KEVIN JOE |
Credential | DE00008835 |
Practice Address |
4915 25th Ave Ne Suite 205 Seattle WA 98105 |
Practice Telephone | 2065241600 |
Practice Fax Number | 2062541603 |
Mailing Telephone | 2065241600 |
Mailing Fax Number | 2062541603 |
Enumeration Date | 2010-11-02 |
Last Update Date | 2020-01-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DE00008835 | WA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821332297 | Michael Joe | Dentist | 333 W Maude Ave, Ste 101, Sunnyvale, CA 94085-4372 | 2012-11-24 |
1225197395 | Michael Joe | Physical Therapist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2006-12-06 |
Street Address |
4915 25TH AVE NE SUITE 205 |
City | SEATTLE |
State | WA |
Zip Code | 98105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144222795 | Sarah K Pohlmann | Internal Medicine | 4915 25th Ave Ne, #301, Seattle, WA 98105-5667 | 2005-08-12 |
1710449277 | Samuel M Elcik | Student in an Organized Health Care Education/Training Program | 4915 25th Ave Ne, Seattle, WA 98105-5667 | 2019-04-03 |
1376001867 | Kristen Caprye Williams | Acupuncturist | 4915 25th Ave Ne, Seattle, WA 98105-5667 | 2019-03-04 |
1871026328 | Matthieu Sullivan | Dentist | 4915 25th Ave Ne, #205, Seattle, WA 98105-5667 | 2017-04-11 |
1710428578 | Heather Ann Freese Riley | Social Worker | 4915 25th Ave Ne, Ste 300-w, Seattle, WA 98105-5667 | 2017-03-13 |
1215385877 | Laura Burgett | Student in an Organized Health Care Education/Training Program | 4915 25th Ave Ne, Suite 205, Seattle, WA 98105-5667 | 2016-05-24 |
1497147201 | Brandon Ware | Physician Assistant | 4915 25th Ave Ne, Seattle, WA 98105-5667 | 2015-03-03 |
1699183293 | Kevin Kunde | Specialist/Technologist | 4915 25th Ave Ne, Seattle, WA 98105-5667 | 2014-07-27 |
1699190835 | John M Owen Iv | Dentist | 4915 25th Ave Ne, Suite 205, Seattle, WA 98105-5667 | 2014-02-25 |
1295156784 | Sound Plastic Surgery Pllc | Plastic Surgery | 4915 25th Ave Ne, Seattle, WA 98105-5667 | 2013-12-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
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Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275184459 | Pi-yu Hsu | Dentist | 509 Olive Way Ste 1043, Seattle, WA 98101-1724 | 2019-09-27 |
1205394681 | Dana Buglione | Dentist | 1959 Ne Pacific St Hsb Room B-469, Seattle, WA 98195-0001 | 2019-03-05 |
1275089872 | Timothy J. Butson Dmd, Msd, Pllc | Dentist | 600 University St Ste 819, Seattle, WA 98101-4117 | 2016-09-01 |
1659724102 | Will Eunku Chung II Dds Msd Pllc | Dentist | 509 Olive Way Ste 1416, Seattle, WA 98101-1749 | 2016-07-20 |
1760829501 | Yang and Kuo Pllc | Dentist | 2507 N 45th St, Seattle, WA 98103-6909 | 2013-06-03 |
1235484361 | Luis Miguel Alvarado Amado | Dentist | 509 Olive Way Ste 1438, Seattle, WA 98101-1772 | 2012-07-15 |
1134346398 | Nabil Al Krumly | Dentist | 11066 5th Ave Ne Ste 100, Seattle, WA 98125-6156 | 2007-04-19 |
1538244660 | Shwey-chun Ma | Dentist | 3327 Ne 125th St, Ste. 102, Seattle, WA 98125-4587 | 2006-10-26 |
1700967544 | Alexander Shor | Dentist | 1500 Fairview Ave East, Ste 300, Seattle, WA 98102 | 2006-10-18 |
1578002333 | Manuel Bratos | Dentist | 1959 Ne Pacific St, Seattle, WA 98195-7456 | 2017-02-13 |
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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.