Martin A Fernunson, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DE00010521 Issued in WA

Practice address

11511 NE 195TH St Ste 104
Bothell, WA 98011-5769

Phone

(425) 481-5302

NPI assigned

Nov 16, 2006

Last updated

Jun 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fernando Caballero, DDS and Isabel Perez, DDS, PS

  • General Practice Dentistry
  • Bothell, WA
  • NPI 1407978083
  NPD
• Nurani, Mitchell, Kim, PC

  dba Brightnow Dental - Tukwila

  • Dentist
  • Tukwila, WA
  • NPI 1518302272
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1275606303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 NE 195TH ST STE 104",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115769",
            "telephone_number": "425-481-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 NE 195TH ST STE 104",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115769",
            "telephone_number": "425-481-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNUNSON",
        "first_name": "MARTIN",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DEN00010521",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE00010521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Kathryn Fehr
• Rhona Marlene Feldman, OT
• Shannon Doran Fenster, CN
• Roxanne Oliveros Fernandez, OT
• Fernando Caballero, DDS and Isabel Perez, DDS, PS
• Dawn Ferrell, CBT
• Fey & Grey Orthodontics PLLC
• Michael Robert Fey, DDS, MSD
• Lori G Field, L AC, OTR
• Jason Patrick Finegan

• Prosthodontics in Bothell, WA
• Providers in Bothell, WA by specialty
• Prosthodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.