Active NPI
Mark Robert Breinholt, DDS
- Dentist
- Bellingham, WA
National Provider Identifier
1053003434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DENT.DE.61445260
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DENT.DE.61445260 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dental Clinic/Center
- Bellingham, WA
- NPI 1457203945
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.