OrganizationActive
Mod Skin and Body Clinic
NPI 1801227327 · Specialist · Kirkland, WA
Mod Skin and Body Clinic is a Specialist organization in Kirkland, WA (NPI 1801227327).
Provider details
- NPI number
- 1801227327
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Polly Tabares, Ceo(425) 406-8455
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14130 Juanita Dr Ne Ste 110
Kirkland, WA 98034-0127
Phone: (425) 406-8455
Street-level locationGet directions
Mailing address
14130 Juanita Dr Ne Ste 110
Kirkland, WA 98034-0127
Registry dates
- Enumerated
- 2013-12-09
- Last updated
- 2014-01-10
Frequently asked questions
- What is Mod Skin and Body Clinic's NPI number?
- Mod Skin and Body Clinic's National Provider Identifier (NPI) is 1801227327, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mod Skin and Body Clinic?
- Mod Skin and Body Clinic is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Mod Skin and Body Clinic located?
- Mod Skin and Body Clinic's practice location on file with NPPES is 14130 Juanita Dr Ne Ste 110, Kirkland, WA 98034-0127.
- What is Mod Skin and Body Clinic's phone number?
- The practice phone number listed in the NPPES registry for Mod Skin and Body Clinic is (425) 406-8455.
- Who is the authorized official for Mod Skin and Body Clinic?
- The authorized official listed on Mod Skin and Body Clinic's NPPES record is Polly Tabares, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mod Skin and Body Clinic's NPI active?
- Yes — Mod Skin and Body Clinic's NPI (1801227327) is active in the NPPES registry as of the last update on 2014-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.