Individual provider Active NPI

Mark Robert Breinholt, DDS

  • Dentist
  • Bellingham, WA
National Provider Identifier
1053003434
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DENT.DE.61445260 Issued in WA
Practice address
3400 Squalicum Pkwy Ste 103
Bellingham, WA 98225-1933
Phone
(360) 734-6728
Fax
(360) 756-8970
NPI assigned
May 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DENT.DE.61445260 WA Primary

Addresses

Primary practice location

3400 Squalicum Pkwy Ste 103
Bellingham, WA 98225-1933

Mailing address

104 6TH St
Lynden, WA 98264-1959
Phone (360) 354-0206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DENT.DE.61445260WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Breinholt DDS PLLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1053003434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 6TH ST",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641959",
            "telephone_number": "360-354-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SQUALICUM PKWY STE 103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251933",
            "telephone_number": "360-734-6728",
            "fax_number": "360-756-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREINHOLT",
        "first_name": "MARK",
        "middle_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DENT.DE.61445260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.