Active NPI
Bryan Fletcher DDS MSD PS
Doing business as Fletcher Pediatric Dentistry
- Dental Clinic/Center
- Wenatchee, WA
National Provider Identifier
1053912741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- BRYAN FLETCHER DDS MSD PS
- Doing business as
- Fletcher Pediatric Dentistry
- Practice address
- 650 N Miller St
Wenatchee, WA 98801-2044 - Phone
- (509) 662-3621
- NPI assigned
- Nov 8, 2020
- Last updated
- Nov 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryan Fletcher, DDS
- Title
- Owner
- Phone
- (509) 662-3621
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
650 N Miller St
Wenatchee, WA 98801-2044
Mailing address
650 N Miller St
Wenatchee, WA 98801-2044
Other names 1
- Fletcher Pediatric Dentistry
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Dentistry
- Wenatchee, WA
- NPI 1184944050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604793600000",
"number": "1053912741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 N MILLER ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 N MILLER ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012044",
"telephone_number": "509-662-3621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYAN FLETCHER DDS MSD PS",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-08",
"last_updated": "2020-11-08",
"certification_date": "2020-11-08",
"status": "A",
"authorized_official_last_name": "FLETCHER",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-662-3621",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fletcher Pediatric Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.