Bradley Jonnes, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60292953 Issued in WA

Practice address

19718 68TH Ave W Ste F
Lynnwood, WA 98036-5965

Phone

(425) 778-2126

NPI assigned

Jul 11, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 10, 2015 through Nov 10, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Edward H. Perkl, DDS, PS

  • General Practice Dentistry
  • Lynnwood, WA
  • NPI 1881860864
  NPD (past)
• Swanson & Ericksen PLLC

  • General Practice Dentistry
  • Bellevue, WA
  • NPI 1477416154
  NPD (past)

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1295023216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19718 68TH AVE W STE F",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365965",
            "telephone_number": "425-778-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19718 68TH AVE W STE F",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365965",
            "telephone_number": "425-778-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONNES",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "1014",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60292953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "DE60292953",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Marie Jones, LMP
• Kylie Jones
• Marthlyn Jones, M.D.
• William Bradley Jones, M.D.
• Khwansiri Jongwiwattham, L.AC
• Madelyn Jordan
• Sisay S Jorga, LMP
• Alice Brown Josafat, MD
• Joseph Van Mieghem, DDS, PLLC
• Andrew Juechter, ND

• All providers in Lynnwood, WA
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.