Individual provider Active NPI

Bradley F. Weinstein, D.M.D., M.S.D.

  • Periodontics
  • Seattle, WA
National Provider Identifier
1083879266
Registry record updated Oct 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DE6025651 Issued in WA
Practice address
509 Olive Way
Suite 1524
Seattle, WA 98101-1720
Phone
(206) 223-1501
Fax
(206) 223-1554
NPI assigned
Jul 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DE6025651 WA Primary

Addresses

Primary practice location

509 Olive Way
Suite 1524
Seattle, WA 98101-1720

Mailing address

1111 E John St
Apt 7
Seattle, WA 98102-5882
Phone (857) 544-2281

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325001491 WA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5092152124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE6025651WAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Weinstein & Kaminsky, PLLC Periodontics Current Accepting new patients

Locations

509 Olive Way
Ste 1524
Seattle, WA 98101
Phone (206) 223-1501

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": "1217116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381622400000",
    "number": "1083879266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E JOHN ST",
            "address_2": "APT 7",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025882",
            "telephone_number": "857-544-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "SUITE 1524",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-223-1501",
            "fax_number": "206-223-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "BRADLEY",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-27",
        "last_updated": "2013-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE6025651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.