DR. ETHAN SHAGAR KAUFMAN DDS
NPI 1124036686
Dentist - General Practice in Longview, WA

Q: What is Ethan Kaufman's NPI number?

The NPI number for Ethan Kaufman is 1124036686. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Q: What is Ethan Kaufman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Kaufman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 03, 2006PECOS Enrolled

1230 7TH AVE, LONGVIEW, WA 98632(360) 575-4801 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Ethan Shagar Kaufman Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN SHAGAR KAUFMAN DDS (NPI 1124036686) is an individual general practice provider in Longview, Washington, licensed in Washington (DE00008840) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124036686

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ETHAN SHAGAR KAUFMANCredential: DDS

Location Address1230 7TH AVELongview, WA 98632-3166

Mailing Address1632 24th AveLongview, WA 98632-3624 · (360) 423-6611

Phone(360) 575-4801

Sole ProprietorNo

Enumeration DateAugust 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1124036686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WA · DE00008840

Definition

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.

1230 7TH AVE, Longview, WA 98632

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ethan Shagar Kaufman Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENDA BUTLER PHARMD

Pharmacist