Active NPI
Michael D Pratt, D.D.S.
- Dentist
- Kennewick, WA
National Provider Identifier
1053752592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60371021
- Practice address
- 419 N Yelm St
Kennewick, WA 99336-3001 - Phone
- (509) 783-1000
- Fax
- (509) 783-0806
- NPI assigned
- Jul 12, 2013
- 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 | DE60371021 | WA | Primary |
Addresses
Primary practice location
419 N Yelm St
Kennewick, WA 99336-3001
Mailing address
419 N Yelm St
Kennewick, WA 99336-3001
Phone (509) 783-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160510002194 | WA | Order and Referring Only - Dentist | 5799074050 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt and Carey PS | Past | 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": "1373587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1053752592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 N YELM ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993363001",
"telephone_number": "509-783-1000",
"fax_number": "509-783-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 N YELM ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993363001",
"telephone_number": "509-783-1000",
"fax_number": "509-783-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-12",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60371021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennewick, WA
- Kimberly Sue Powelson, MSW
- Alicia Prado, BA
- Pramod Sinha DDS Ms
- Leon Michael Prather, HIS
- Pratt and Carey PS (Family First Dental)
- Jeffrey Prause, DC
- Alondra Preciado, MA60058479
- Precision Interventional Pain Center PLLC (Precision Interventional Pain Center)
- Precision Interventional Pain Center PLLC (Precision Surgical Center)
- Preferred Homecare Infusion, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.