EDWARD PHILLIP KISS DMD
NPI 1598938458
Dentist - General Practice in University Place, WA

Active since April 10, 2008Opted out of Medicare · through Dec 15, 2026
5012 58TH AVENUE CT W, UNIVERSITY PLACE, WA 98467(253) 566-0456 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward Phillip Kiss Dmd NPPES

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

EDWARD PHILLIP KISS DMD (NPI 1598938458) is an individual general practice provider in University Place, Washington, licensed in Washington (6169) and active in the NPI registry since April 2008. He has opted out of Medicare through December 15, 2026.

NPPES Registry Identity

NPI1598938458
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameEDWARD PHILLIP KISSCredential: DMD
Location Address5012 58TH AVENUE CT WUniversity Place, WA 98467-3689
Mailing Address14315 62nd Ave NwGig Harbor, WA 98332-8664 · (253) 851-4025 · Fax (253) 853-6352
Sole ProprietorNo
Enumeration DateApril 10, 2008
NPI 1598938458 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 · 6169
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.
5012 58TH AVENUE CT W, University Place, WA 98467

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Edward Phillip Kiss Dmd 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 December 15, 2016 through December 15, 2026.

Opt-Out Effective DateDecember 15, 2016
Opt-Out In Effect ThroughDecember 15, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Edward Kiss's NPI number?

The NPI number for Edward Kiss is 1598938458. It was assigned to this individual provider in the NPPES registry on April 10, 2008.

Where is Edward Kiss located?

Edward Kiss practices at 5012 58th Avenue Ct W, University Place, WA 98467. The listed phone number is (253) 566-0456.

What is Edward Kiss's specialty?

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

Is Edward Kiss enrolled in Medicare?

No. Edward Kiss has opted out of Medicare through December 15, 2026. 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 Edward Kiss was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.