Active NPI
Dr, Richard Bienenfeld, D.D.S.
- Dental Clinic/Center
- Kirkland, WA
National Provider Identifier
1104093319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 4831
- Legal business name
- DR, RICHARD BIENENFELD, D.D.S.
- Practice address
- 12815 120TH Ave NE
Suite G
Kirkland, WA 98034-3003 - Phone
- (425) 821-9600
- Fax
- (425) 820-6652
- NPI assigned
- May 15, 2008
- 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
- Mrs. Cheri Doyle
- Title
- Office Manager
- Phone
- (425) 821-9600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 4831 | WA | Primary |
Addresses
Primary practice location
12815 120TH Ave NE
Suite G
Kirkland, WA 98034-3003
Mailing address
12815 120TH Ave NE
Suite G
Kirkland, WA 98034-3003
Phone (425) 821-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5501606 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
12815 120th Ave NE
Ste G
Kirkland, WA 98034
Phone (425) 821-9600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Kirkland, WA
- NPI 1508960857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210809600000",
"number": "1104093319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12815 120TH AVE NE",
"address_2": "SUITE G",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343003",
"telephone_number": "425-821-9600",
"fax_number": "425-820-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12815 120TH AVE NE",
"address_2": "SUITE G",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343003",
"telephone_number": "425-821-9600",
"fax_number": "425-820-6652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR, RICHARD BIENENFELD, D.D.S.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-15",
"last_updated": "2008-05-15",
"status": "A",
"authorized_official_last_name": "DOYLE",
"authorized_official_first_name": "CHERI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "425-821-9600",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "WA",
"license": "4831",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5501606",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.