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DR. KENJI GRANT BEPPU DDS, MSD
NPI 1225163033
Dentist - Endodontics in Bellevue, WA

Active since February 22, 2007Opted out of Medicare · through Apr 10, 2028
14595 BEL RED RD, SUITE #103, BELLEVUE, WA 98007(425) 562-9070 Get Directions Write a Review

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

About Dr. Kenji Grant Beppu Dds, Msd NPPES

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

DR. KENJI GRANT BEPPU DDS, MSD (NPI 1225163033) is an individual endodontics provider in Bellevue, Washington, licensed in Washington (DE00008581) and active in the NPI registry since February 2007. He has opted out of Medicare through April 10, 2028.

NPPES Registry Identity

NPI1225163033
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. KENJI GRANT BEPPUCredential: DDS, MSD
Location Address14595 BEL RED RD, SUITE #103Bellevue, WA 98007-3928
Mailing Address14595 Bel Red Rd, Suite #103Bellevue, WA 98007-3928 · (425) 562-9070
Phone(425) 562-9070
Sole ProprietorNo
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225163033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in WA · DE00008581
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
14595 BEL RED RD, Bellevue, WA 98007
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kenji Grant Beppu Dds, Msd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 10, 2020 through April 10, 2028.

Opt-Out Effective DateApril 10, 2020
Opt-Out In Effect ThroughApril 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

DR. WARREN JAY LIBMAN DDS, MSD
Dentist (Prosthodontics)
14595 BEL RED RD, SUITE 100
BELLEVUE, WA 98007
King County (425) 453-1308
WARREN J LIBMAN DDS,MSD,PS
Dentist (Prosthodontics)
14595 BEL RED RD, #100
BELLEVUE, WA 98007
King County (425) 453-1308
DR. KARIM Z ALIBHAI DMD
Dentist (Endodontics)
14595 BEL RED RD, SUITE 103
BELLEVUE, WA 98007
King County (425) 562-9070

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 Kenji Beppu's NPI number?

The NPI number for Kenji Beppu is 1225163033. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Kenji Beppu located?

Kenji Beppu practices at 14595 Bel Red Rd Suite #103, Bellevue, WA 98007. The listed phone number is (425) 562-9070.

What is Kenji Beppu's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Kenji Beppu enrolled in Medicare?

No. Kenji Beppu has opted out of Medicare through April 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kenji Beppu 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.