Brandon Lloyd Atkinson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8472 Issued in WA

Practice address

721 S. Maple Ave.
La Conner, WA 98257

Phone

(360) 466-3188

Fax

(360) 466-5074

NPI assigned

Jun 21, 2005

Last updated

Oct 31, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1073519435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S. MAPLE AVE",
            "city": "LA CONNER",
            "state": "WA",
            "postal_code": "98257",
            "telephone_number": "360-466-3188",
            "fax_number": "360-466-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S. MAPLE AVE.",
            "city": "LA CONNER",
            "state": "WA",
            "postal_code": "98257",
            "telephone_number": "360-466-3188",
            "fax_number": "360-466-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINSON",
        "first_name": "BRANDON",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "8472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES/ CMS",
            "identifier": "1073519435",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1073519435",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Robyn Burdick

• General Practice Dentistry in La Conner, WA
• Providers in La Conner, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.