Atkinson Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8472 Issued in WA

Legal business name

ATKINSON FAMILY DENTISTRY

Practice address

727 Trail Rd
Sedro Woolley, WA 98284-9335

Phone

(360) 856-4540

Fax

(360) 856-1777

NPI assigned

Jul 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brandon Lloyd Atkinson, DMD

Title

President

Phone

(360) 856-4540

Specialties & licenses 1

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1003014879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 TRAIL RD",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849335",
            "telephone_number": "360-856-4540",
            "fax_number": "360-856-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 TRAIL RD",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849335",
            "telephone_number": "360-856-4540",
            "fax_number": "360-856-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATKINSON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-856-4540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "8472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5051982",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5052378",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5036496",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jhenna Isabel Anshutz
• Kali Archipley, BD
• Travis Arendse, OTR/L
• Stephanie A Arline
• Angelica Rubiceli Ascencio, INTERPRETER
• Thelma Lillian Bachman
• Leanna Badillo, LM
• Elizabeth Baggett
• Madelyn Grace Bahner, RN
• Anastasia Marie Baide, RPH

• All providers in Sedro Woolley, WA
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.