Rodney Allen Brandt, DDS,PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

2151 Hospital Dr
Sedro Woolley, WA 98284-4301

Phone

(360) 856-2273

Fax

(360) 856-2273

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184734089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 HOSPITAL DR",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982844301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 HOSPITAL DR",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982844301",
            "telephone_number": "360-856-2273",
            "fax_number": "360-856-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "RODNEY",
        "middle_name": "ALLEN",
        "credential": "DDS,PS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5009915",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabella Helena Bonserio-Coonrad
• Coleen Elizabeth Bost, DPT
• Emma Carolina Bradley-Solis, RS II, AAC
• Marianna Michelle Brady
• Alan Brandenburg, CG60705454
• Chelsie Marie Brann, CDPT
• Melissa Bretvick
• Chris Robert Broberg, RN
• Janet Darlene Brown
• Kimberly Sue Brown

• General Practice Dentistry in Sedro Woolley, WA
• Providers in Sedro Woolley, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.