Willard E Osmunson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5193 Issued in WA

Practice address

1418 112TH Ave NE
Bellevue, WA 98004-3714

Phone

(425) 466-0100

Fax

(425) 462-7395

NPI assigned

Nov 21, 2006

Last updated

Feb 2, 2016By the provider in NPPES

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

Other names 1

• Willard Osmunson Professional name

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1255406906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 112TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043714",
            "telephone_number": "425-466-0100",
            "fax_number": "425-462-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 112TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043714",
            "telephone_number": "425-466-0100",
            "fax_number": "425-462-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMUNSON",
        "first_name": "WILLARD",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLARD",
            "last_name": "OSMUNSON",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kate S Osborne, OTR/L, CHT
• Oscar J. Benitez, PHD Inc
• Sachiko Oshio, C.N.M, PH.D. ARNP
• Stella Osipova
• Andia Ary Oskoui
• Carita Osterback, RD
• Shelby Ostergard
• Megan N Osterman
• Tro Ota
• Desiree L Otto, MD

• General Practice Dentistry in Bellevue, WA
• Providers in Bellevue, 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 Feb 2, 2016; 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.