DR. KRAMER ALEXANDER PANDOLFO WAGNER (NPI# 1346894987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346894987 |
| Entity Type | Individual |
| Full Name | DR. KRAMER ALEXANDER PANDOLFO WAGNER |
| Credential | DDS |
| Practice Address |
15965 Ne 85th St Ste 201 Redmond WA 98052-3593 |
| Mailing Address |
16602 198th Ave Ne Woodinville WA 98077-5417 |
| Practice Telephone | 4258851873 |
| Mailing Telephone | 2069108653 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
60976091 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CE NUMBER | 60976091 | 01 |
| Street Address |
15965 NE 85TH ST STE 201 |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113015 | Victor Bing-sheng Shih | Dentist | 9235 158th Pl Ne, Redmond, WA 98052-7524 | 2020-10-28 |
| 1326687237 | Quirt, Mongrain, Gibree, P.C. | Dentist | 15446 Bel Red Rd Ste 100, Redmond, WA 98052-5503 | 2019-12-26 |
| 1942787569 | Quirt, Mongrain, Gibree, P.C. | Dentist | 8575 164th Ave Ne Ste 200, Redmond, WA 98052-3679 | 2018-07-26 |
| 1720507668 | Qing Wan | Dentist | 6781 194th Pl Ne, Redmond, WA 98052-0561 | 2017-09-12 |
| 1528302601 | Dr Justin Higbee Dds PC | Dentist | 1769 Sw Parkway Dr, Redmond, OR 97756-2550 | 2012-11-15 |
| 1760748602 | Mark S Keener Dmd P.C. | Dentist | 200 Sw 7th St, Redmond, OR 97756-2112 | 2012-04-04 |
| 1659640027 | Kyle J. Frisinger D.m.d. PC | Dentist | 834 Sw 11th St Ste 1, Redmond, OR 97756-2633 | 2011-12-14 |
| 1861780355 | Denise Gayle Hicks | Dentist | 905 Sw Rimrock Way Ste 201, Redmond, OR 97756-2569 | 2011-07-18 |
| 1922303577 | Rafia Jawed | Dentist | 18666 Ne 55th Way, Redmond, WA 98052-6130 | 2011-01-12 |
| 1538474721 | K.s.h. Hsue Dds Pllc | Dentist | 8103 161st Ave Ne, Redmond, WA 98052-3806 | 2010-08-11 |
| Find all providers in REDMOND | ||||
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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.