Organization Active NPI

Bryce K Duskin DDS PS

  • General Practice Dentistry
  • Arlington, WA
National Provider Identifier
1083926778
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60099566 Issued in WA
Legal business name
BRYCE K DUSKIN DDS PS
Doing business as
Eagle Family Dental Center
Practice address
20210 77TH Ave NE
Arlington, WA 98223-4602
Phone
(360) 435-2151
Fax
(360) 435-7845
NPI assigned
Jul 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
Dr. Bryce K Duskin, DDSNPI 1184731093
Title
President
Phone
(360) 435-2151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE60099566 WA Primary

Addresses

Primary practice location

20210 77TH Ave NE
Arlington, WA 98223-4602

Mailing address

20210 77TH Ave NE
Arlington, WA 98223-4602
Phone (360) 435-2151

Other names 1

  • Eagle Family Dental Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1083926778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20210 77TH AVE NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982234602",
            "telephone_number": "360-435-2151",
            "fax_number": "360-435-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20210 77TH AVE NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982234602",
            "telephone_number": "360-435-2151",
            "fax_number": "360-435-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYCE K DUSKIN DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "DUSKIN",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-435-2151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60099566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.