Organization Active NPI

Bradley H Jonnes DDS PLLC

  • Dentist
  • Lynnwood, WA
National Provider Identifier
1184091456
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60292953 Issued in WA
Legal business name
BRADLEY H JONNES DDS PLLC
Practice address
19718 68TH Ave W
Lynnwood, WA 98036-5965
Phone
(425) 778-2126
NPI assigned
Aug 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Bradley Ho Jonnes, DDS
Title
Member
Phone
(425) 681-4734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 60292953 WA Primary

Addresses

Primary practice location

19718 68TH Ave W
Lynnwood, WA 98036-5965

Mailing address

19718 68TH Ave W
Lynnwood, WA 98036-5965
Phone (425) 778-2126

National Provider Directory

National Provider Directory

Locations

19718 68th Ave W
Lynnwood, WA 98036
Phone (425) 778-2126

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1184091456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19718 68TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365965",
            "telephone_number": "425-778-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19718 68TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365965",
            "telephone_number": "425-778-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY H JONNES DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "JONNES",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-681-4734",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "60292953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.