Joshua Matthew Fletcher, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61189051 Issued in WA

Practice address

1021 S 40TH Ave Ste 3
Yakima, WA 98908-3880

Phone

(509) 966-7350

NPI assigned

Aug 6, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tyler E Bauer DMD PC

  • Customized Equipment (DME)
  • Yakima, WA
  • NPI 1639728504
  NPD

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1235803735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7819 LOREN PL",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989089225",
            "telephone_number": "208-701-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 S 40TH AVE STE 3",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083880",
            "telephone_number": "509-966-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JOSHUA",
        "middle_name": "MATTHEW",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "61189051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conswaylo Ann Fleek, CDPT
• Karla Grace Fleetwood, LMP
• Deniele Anna Fleming, MS,CDP
• Erik William Fleming, MS, CDP
• Scott Aaron Fleming, DMD
• Nicole Kristine Fletcher
• Collette Jane Flinkfelt, NP
• Flo Infusions, LLC
• Lizbeth Flores Carlos
• Katia Flores Pimentel

• Dentist in Yakima, WA
• Providers in Yakima, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.