Individual provider Active NPI

Brandon Hunt, DDS

  • Dentist
  • Redmond, OR
National Provider Identifier
1104423128
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11578 Issued in OR
Practice address
845 SW 17TH St Ste 201
Redmond, OR 97756-2576
Phone
(541) 504-0880
NPI assigned
Oct 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61100059 WA
Dentist 122300000X D11578 OR Primary

Addresses

Primary practice location

845 SW 17TH St Ste 201
Redmond, OR 97756-2576

Mailing address

715 W 22ND Ave
Spokane, WA 99203-1961
Phone (509) 953-5329

Other practice location 1

825 Sharon Ave E
Moses Lake, WA 98837-2441
Phone (509) 766-9030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D11578ORMDDentist
61100059WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kyle J. Frisinger D.M.D. PC CurrentSince Jun 5, 2022 Accepting new patients

Locations

845 SW 17th St
Ste 201
Redmond, OR 97756
Phone (541) 504-0880

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": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1104423128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W 22ND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992031961",
            "telephone_number": "509-953-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 SW 17TH ST STE 201",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562576",
            "telephone_number": "541-504-0880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Sharon Ave E",
            "address_purpose": "LOCATION",
            "city": "Moses Lake",
            "state": "WA",
            "postal_code": "988372441",
            "country_code": "US",
            "telephone_number": "509-766-9030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNT",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "61100059",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.