Dr. Ethan Shagar Kaufman, DDS
Dr. Ethan Shagar Kaufman is a General Practice Dentistry provider (Dentist) practicing in Longview, WA, registered in the NPPES registry with NPI 1124036686 since 2006. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124036686 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Ethan Shagar Kaufman |
| Credential | DDS |
| Sex | Male |
| Practice address | 1230 7TH AVE, Longview, WA, 98632 |
| Phone | 3605754801 |
| Enumeration date | 2006-08-03 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | DE00008840 | WA |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Ethan Kaufman, DDS NPI: 1124036686 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 1230 7TH AVE, Longview, WA, 98632
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1558368597 | Marlene Dicristina | Individual | Family Medicine Physician | Longview, WA |
| 1417931262 | Zeba Kamal | Individual | Internal Medicine Physician | Longview, WA |
| 1881670768 | Rebecca Becker | Individual | Internal Medicine Physician | Longview, WA |
| 1407821499 | Jeffrey Fries | Individual | Optometrist | Longview, WA |
| 1306893417 | Kaiser Foundation Health Plan of the Northwest | Organization | Clinic Pharmacy | Longview, WA |
| 1861411795 | Michael Faloon | Individual | Family Medicine Physician | Longview, WA |
| 1912929613 | David Fitch | Individual | General Practice Dentistry | Longview, WA |
| 1346262565 | Charles Henderson | Individual | General Practice Dentistry | Longview, WA |
Verify this record
Cross-check NPI 1124036686 against the authoritative CMS record: view Dr. Ethan Shagar Kaufman on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.