KOZUE KAWAKUBO D.M.D.
NPI 1780913764
Dentist - Pediatric Dentistry in Redmond, WA

Active since December 21, 2009
17130 AVONDALE WAY NE, SUITE 118, REDMOND, WA 98052(425) 869-1830 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2021, Nov 11, 2015 (2 updates tracked since 2015).

About Kozue Kawakubo D.m.d. NPPES

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

KOZUE KAWAKUBO D.M.D. (NPI 1780913764) is an individual pediatric dentistry provider in Redmond, Washington, licensed in Washington (DE60587893) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1780913764
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameKOZUE KAWAKUBOCredential: D.M.D.
Location Address17130 AVONDALE WAY NE, SUITE 118Redmond, WA 98052-4455
Mailing Address17130 Avondale Way Ne, Suite 118Redmond, WA 98052-4455
Sole ProprietorNo
Enumeration DateDecember 21, 2009
Last NPPES UpdateJuly 16, 20212 updates tracked since enumeration
NPPES CertifiedJuly 16, 2021
NPI 1780913764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in WA · DE60587893
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.
Also ListedDentistTaxonomy 122300000X · License 15250 (MD)
17130 AVONDALE WAY NE, Redmond, WA 98052

Accepted Insurance

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.

Dentist (Pediatric Dentistry)
17130 AVONDALE WAY NE, SUITE # 118
REDMOND, WA 98052
Ophthalmology
17130 AVONDALE WAY NE, SUITE 111
REDMOND, WA 98052

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 Kozue Kawakubo's NPI number?

The NPI number for Kozue Kawakubo is 1780913764. It was assigned to this individual provider in the NPPES registry on December 21, 2009.

Where is Kozue Kawakubo located?

Kozue Kawakubo practices at 17130 Avondale Way NE Suite 118, Redmond, WA 98052. The listed phone number is (425) 869-1830.

What is Kozue Kawakubo's specialty?

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

What insurance does Kozue Kawakubo 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 HRI Dental & Vision and 5 other insurers list Kozue Kawakubo 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 Kozue Kawakubo was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.