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DR. KEES PETER VON MICHALOFSKI DDS
NPI 1396421723
Dentist in Renton, WA

Active since June 21, 2023PECOS Enrolled
955 PARK AVE N STE D, RENTON, WA 98057(425) 793-6003 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2024, Jun 21, 2023 (2 updates tracked since 2023).

About Dr. Kees Peter Von Michalofski Dds NPPES

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

DR. KEES PETER VON MICHALOFSKI DDS (NPI 1396421723) is an individual dentist in Renton, Washington, licensed in Washington (DE61556534) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396421723
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KEES PETER VON MICHALOFSKICredential: DDS
Location Address955 PARK AVE N STE DRenton, WA 98057-5680
Mailing Address1228 Ne Ravenna BlvdSeattle, WA 98105-2616 · (509) 939-4028
Phone(425) 793-6003
Sole ProprietorNo
Enumeration DateJune 21, 2023
Last NPPES UpdateAugust 16, 20242 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1396421723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE61556534
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
955 PARK AVE N STE D, Renton, WA 98057
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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. Kees Peter Von Michalofski 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 98057 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 5

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

WASHINGTON DENTAL CORPORATION, PC
Dentist
955 PARK AVE N STE D
RENTON, WA 98057
King County (425) 793-6003
MELISSA HAYES DMD
Dentist (General Practice)
955 PARK AVE N STE D
RENTON, WA 98057
King County (425) 793-6003
DR. CHANYOUNG DAVID SUH DMD
Dentist (General Practice)
955 PARK AVE N STE D
RENTON, WA 98057
King County (408) 313-9921
TIFFANY TANG DMD
Dentist (General Practice)
955 PARK AVE N STE D
RENTON, WA 98057
King County (425) 793-6003
DR. BRIAN MARTIN HOPKINS DDS
Dentist
955 PARK AVE N STE D
RENTON, WA 98057
King County (425) 793-6003

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 Kees Von Michalofski's NPI number?

The NPI number for Kees Von Michalofski is 1396421723. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Where is Kees Von Michalofski located?

Kees Von Michalofski practices at 955 Park Ave N Ste D, Renton, WA 98057. The listed phone number is (425) 793-6003.

What is Kees Von Michalofski's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kees Von Michalofski enrolled in Medicare?

Yes. Kees Von Michalofski is registered in the Medicare PECOS enrollment system.

What insurance does Kees Von Michalofski 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 Kees Von Michalofski 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 Kees Von Michalofski was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.