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MIKHAIL KISSELEV, ND, PH.D, LLC
NPI 1871844316
Non-Pharmacy Dispensing Site in Seattle, WA

Active since September 24, 2012
11524 15TH AVE NE, SUITE C, SEATTLE, WA 98125(206) 361-0108 Get Directions Write a Review

NPPES record last updated: September 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mikhail Kisselev, Nd, Ph.d, Llc NPPES

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

MIKHAIL KISSELEV, ND, PH.D, LLC (NPI 1871844316) is a healthcare organization registered as a non-pharmacy dispensing site in Seattle, Washington and active in the NPI registry since September 2012. The organization lists Mikhail O. Kisselev, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1871844316
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameMIKHAIL KISSELEV, ND, PH.D, LLC
Location Address11524 15TH AVE NE, SUITE CSeattle, WA 98125-6357
Mailing Address2980 N Beverly Glen Cir, Suite 301Los Angeles, CA 90077-1726 · (310) 474-9809
Phone(206) 361-0108
Organization SubpartYes
Authorized OfficialMikhail O. KisselevMedical Director · (206) 361-0108
Enumeration DateSeptember 24, 2012
✔ NPI 1871844316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
11524 15TH AVE NE, Seattle, WA 98125
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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.

JAMES ROBERT KEMPER D.D.S.
Dentist (General Practice)
11524 15TH AVE NE, SUITE A
SEATTLE, WA 98125
King County (206) 367-3700
MARIAM GARIFIANOVA LAC
Acupuncturist
11524 15TH AVE NE, SUITE C
SEATTLE, WA 98125
King County (206) 361-0108

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 Mikhail Kisselev, Nd, Ph.D, LLC's NPI number?

The NPI number for Mikhail Kisselev, Nd, Ph.D, LLC is 1871844316. It was assigned to this organization in the NPPES registry on September 24, 2012.

Where is Mikhail Kisselev, Nd, Ph.D, LLC located?

Mikhail Kisselev, Nd, Ph.D, LLC is located at 11524 15th Ave NE Suite C, Seattle, WA 98125. The listed phone number is (206) 361-0108.

What is Mikhail Kisselev, Nd, Ph.D, LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

What insurance does Mikhail Kisselev, Nd, Ph.D, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mikhail Kisselev, Nd, Ph.D, LLC 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 Mikhail Kisselev, Nd, Ph.D, LLC was last updated on September 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.