DR. WALLY W. KEGEL (D.D.S., M.S.D., P.S.) – Periodontics, NPI 1356436315

DR. WALLY W. KEGEL (D.D.S., M.S.D., P.S.) is a healthcare provider. based in Seattle, Washington. specializing in Periodontics. They hold the professional credentials D.D.S., M.S.D., P.S.. They hold a License No. DE00004873 (WA). The NPI Number for DR. WALLY W. KEGEL (D.D.S., M.S.D., P.S.) is 1356436315

Main info

Male
Sole Proprietor
Name
DR. WALLY W. KEGEL (D.D.S., M.S.D., P.S.)
NPI
1356436315
Phone
(206) 682-9269
Address
509 OLIVE WAY
Enumeration Date
4 October 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. WALLY W. KEGEL (D.D.S., M.S.D., P.S.)

  • Medical Dental Building, 509, Olive Way, Central Business District, Belltown, Seattle, King County, Washington, 98101, United States

    SUITE 627

    SEATTLE, WA 981011761

    Phone: (206) 682-9269

    Fax: (206) 624-4140

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2023-05-25 • Largest payer in this snapshot: ZIMVIE INC. ($42).

Total Amount

$42

General + Research + Ownership

Payments

1

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ZIMVIE INC.$42
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98101)

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Reviews

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Frequently asked questions

How do I look up DR. WALLY W. KEGEL (D.D.S., M.S.D., P.S.) by NPI?
Use NPI 1356436315 when you need to reference DR. WALLY W. KEGEL (D.D.S., M.S.D., P.S.) in forms, claims, or directories.
Does this profile mean DR. WALLY W. KEGEL (D.D.S., M.S.D., P.S.) is currently active?
Yes — DR. WALLY W. KEGEL (D.D.S., M.S.D., P.S.) appears active in the national provider directory.
Can you summarize DR. WALLY W. KEGEL (D.D.S., M.S.D., P.S.)'s specialty in plain language?
Clinically, the directory lists DR. WALLY W. KEGEL (D.D.S., M.S.D., P.S.) with Periodontics. Clinical services aligned with this taxonomy classification.
Does DR. WALLY W. KEGEL (D.D.S., M.S.D., P.S.) practice in Washington?
You will see Seattle, Washington on file for DR. WALLY W. KEGEL (D.D.S., M.S.D., P.S.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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