Individual provider Active NPI

Patrick Bell, DMD

  • General Practice Dentistry
  • Puyallup, WA
National Provider Identifier
1205560547
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE61306840 Issued in WA
Practice address
12005 Meridian E Ste 102
Puyallup, WA 98373-3423
Phone
(253) 214-9293
NPI assigned
Jul 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE61306840 WA Primary
General Practice Dentistry 1223G0001X DENT.DE.61306840 WA

Addresses

Primary practice location

12005 Meridian E Ste 102
Puyallup, WA 98373-3423

Mailing address

12005 Meridian E Ste 102
Puyallup, WA 98373-3423
Phone (253) 214-9293

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE61306840WAMDGeneral Practice Dentistry
DENT.DE.61306840WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Dental Corporation, PC CurrentSince Jul 17, 2022 Accepting new patients

Locations

12005 Meridian E
#102
Puyallup, WA 98373
Phone (253) 214-9293

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1205560547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 MERIDIAN E STE 102",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733423",
            "telephone_number": "253-214-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12005 MERIDIAN E STE 102",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733423",
            "telephone_number": "253-214-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "PATRICK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61306840",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DENT.DE.61306840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.