Active NPI
Brandon Hunt, DDS
- Dentist
- Redmond, OR
National Provider Identifier
1104423128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D11578
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D11578 | OR | MD | Dentist |
| 61100059 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kyle J. Frisinger D.M.D. PC | Current | 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.
-
- General Practice Dentistry
- Redmond, OR
- NPI 1659640027
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.