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DR. MICAH BOVENKAMP DDS
NPI 1134757487
Dentist - Pediatric Dentistry in Seattle, WA

Active since March 31, 2020PECOS Enrolled
6222 NE 74TH ST, SEATTLE, WA 98115(206) 543-5800 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Micah Bovenkamp Dds NPPES

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

DR. MICAH BOVENKAMP DDS (NPI 1134757487) is an individual pediatric dentistry provider in Seattle, Washington, licensed in Washington (DR61043609) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134757487
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MICAH BOVENKAMPCredential: DDS
Location Address6222 NE 74TH STSeattle, WA 98115-8158
Mailing Address6222 Ne 74th St # 354915Seattle, WA 98115-8158 · (206) 543-7906
Phone(206) 543-5800
Sole ProprietorNo
Enumeration DateMarch 31, 2020
NPPES CertifiedMarch 31, 2020
✔ NPI 1134757487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in WA · DR61043609
Definition
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.
6222 NE 74TH ST, Seattle, WA 98115
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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. Micah Bovenkamp 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 98115 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 17

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

DR. AHMED HOSAMUDDIN ROZI B.D.S.
Student in an Organized Health Care Education/Training Program
6222 NE 74TH ST, THE CENTER FOR PEDIATRIC DENTISTRY
SEATTLE, WA 98115
King County (206) 543-7906
ANNA ZHENG
Student in an Organized Health Care Education/Training Program
6222 NE 74TH ST
SEATTLE, WA 98115
King County (206) 543-5800
DR. MARIELLA TATIANA GARCIA DDS
Dentist (Pediatric Dentistry)
6222 NE 74TH ST
SEATTLE, WA 98115
King County (206) 543-5800
ESTHER YOUJIN LEE DDS
Student in an Organized Health Care Education/Training Program
6222 NE 74TH ST
SEATTLE, WA 98115
King County (206) 543-7906
JORDAN HOLLANDER
Student in an Organized Health Care Education/Training Program
6222 NE 74TH ST
SEATTLE, WA 98115
King County (206) 473-9809
DR. STEPHEN GREGORY CHADWICK D.D.S.
Dentist
6222 NE 74TH ST
SEATTLE, WA 98115
King County (206) 543-5800
ERIN WELTER
Dentist (Pediatric Dentistry)
6222 NE 74TH ST
SEATTLE, WA 98115
King County (206) 543-5800
BECKY ANN OLACKE D.M.D
Dentist (General Practice)
6222 NE 74TH ST
SEATTLE, WA 98115
King County (206) 543-7906

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micah Bovenkamp's NPI number?

The NPI number for Micah Bovenkamp is 1134757487. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Micah Bovenkamp located?

Micah Bovenkamp practices at 6222 NE 74th St, Seattle, WA 98115. The listed phone number is (206) 543-5800.

What is Micah Bovenkamp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Micah Bovenkamp enrolled in Medicare?

Yes. Micah Bovenkamp is registered in the Medicare PECOS enrollment system.

What insurance does Micah Bovenkamp accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Micah Bovenkamp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Micah Bovenkamp was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.