Organization Active NPI

Steven a. Brazeau, DDS

  • Dental Clinic/Center
  • Yakima, WA
National Provider Identifier
1265967822
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5054 Issued in WA
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

Updated by the provider on Apr 20, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.