KUMUDRA TIN SOE DMD
NPI 1497308159
Dentist in Edmonds, WA

Active since July 22, 2019PECOS Enrolled
7533 OLYMPIC VIEW DR STE C, EDMONDS, WA 98026(425) 670-2392(425) 776-8173 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2020, Jul 23, 2019 (2 updates tracked since 2019).

About Kumudra Tin Soe Dmd NPPES

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

KUMUDRA TIN SOE DMD (NPI 1497308159) is an individual dentist in Edmonds, Washington, licensed in Washington (DE60972753) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497308159
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKUMUDRA TIN SOECredential: DMD
Location Address7533 OLYMPIC VIEW DR STE CEdmonds, WA 98026-5524
Mailing Address7623 222nd St Sw Unit BEdmonds, WA 98026-7966 · (626) 551-8119
Fax(425) 776-8173
Sole ProprietorNo
Enumeration DateJuly 22, 2019
Last NPPES UpdateFebruary 21, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2024
NPI 1497308159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in WA · DE60972753
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.
7533 OLYMPIC VIEW DR STE C, Edmonds, WA 98026

Accepted 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)

Kumudra Tin Soe Dmd 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 98026 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 2

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

Clinic/Center (Dental)
7533 OLYMPIC VIEW DR STE C
EDMONDS, WA 98026
Dentist (General Practice)
7533 OLYMPIC VIEW DR STE C
EDMONDS, WA 98026

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 Kumudra Soe's NPI number?

The NPI number for Kumudra Soe is 1497308159. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Kumudra Soe located?

Kumudra Soe practices at 7533 Olympic View Dr Ste C, Edmonds, WA 98026. The listed phone number is (425) 670-2392.

What is Kumudra Soe's specialty?

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

Is Kumudra Soe enrolled in Medicare?

Yes. Kumudra Soe is registered in the Medicare PECOS enrollment system.

What insurance does Kumudra Soe accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 5 other insurers list Kumudra Soe 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 Kumudra Soe was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.