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Dr. Kees Peter Von Michalofski , DDS

Dentist β€’ Renton, WA

Active NPI 1396421723 Individual Practitioner Male Practitioner
Practice location in NPPES

955 Park Ave N Ste D
Renton, WA 980575680

Call 4257936003 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

955 Park Ave N Ste D

Renton, WA 980575680

Telephone 4257936003
Organization at the Same NPPES Address or Phone
Washington Dental Corporation, Pc Facility NPI 1164863452

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Von Michalofski has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Von Michalofski as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Renton and Washington

46 active clinicians are listed under Dentist with a practice address in Renton, WA (2,768 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Renton

0% of these 46 clinicians have the CMS telehealth indicator.

0% of these 46 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-16
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES WA DE61556534

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20250815003308

Enrollment State Jurisdiction

WA

PECOS Control ID

0042719155

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Melissa Hayes , DMD

Dentist - General Practice

NPI 1629408927

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 16, 2024

Registered at 955 PARK AVE N STE D, RENTON, WA 980575680 (Tel: 4257936003)

πŸ‘€
Provider Name / Credentials Updated August 16, 2024

Recorded as KEES VON MICHALOFSKI, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2024

Dentist (license number reported to NPPES: WA DE61556534)

βœ…
NPI Profile Active June 21, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 21, 2023

Registered at 13030 MILITARY RD S FL 2, TUKWILA, WA 981683085 (Tel: 2064393289)

πŸ“
Business Mailing Address (Initial Record) June 21, 2023

Registered at 1228 NE RAVENNA BLVD, SEATTLE, WA 981052616 (Tel: 5099394028)

πŸ‘€
Provider Name / Credentials (Initial Record) June 21, 2023

Recorded as KEES VONMICHALOFSKI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 21, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396421723
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2023
Last Update: August 16, 2024
Sole Proprietor: No

Other Dentists in Renton

All Dentists in Renton

Mailing Address

1228 Ne Ravenna Blvd

Seattle, WA 981052616

Phone: 5099394028

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.