Active NPI
Steven a. Brazeau, DDS
- Dental Clinic/Center
- Yakima, WA
National Provider Identifier
1265967822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 5054
- Legal business name
- STEVEN A. BRAZEAU, DDS
- Practice address
- 1514 W Yakima Ave
Yakima, WA 98902-2951 - Phone
- (509) 457-6175
- Fax
- (509) 457-1139
- NPI assigned
- Apr 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Janice C Brazeau
- Title
- Owner
- Phone
- (509) 965-1861
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 5054 | WA | Primary |
Addresses
Primary practice location
1514 W Yakima Ave
Yakima, WA 98902-2951
Mailing address
1514 W Yakima Ave
Yakima, WA 98902-2951
Phone (509) 457-6175
National Provider Directory
National Provider DirectoryLocations
1514 W Yakima Ave
Yakima, WA 98902
Phone (509) 457-5387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492646400000",
"number": "1265967822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 W YAKIMA AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022951",
"telephone_number": "509-457-6175",
"fax_number": "509-457-1139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 W YAKIMA AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022951",
"telephone_number": "509-457-6175",
"fax_number": "509-457-1139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN A. BRAZEAU, DDS",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-20",
"last_updated": "2017-04-20",
"status": "A",
"authorized_official_last_name": "BRAZEAU",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-965-1861",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "WA",
"license": "5054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.