Brent Bakken, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6901 Issued in OR

Practice address

1050 W Elm Ave
Suite 280
Hermiston, OR 97838-2700

Phone

(541) 289-1020

Fax

(541) 289-1022

NPI assigned

Jan 3, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in OR

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316094550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W ELM AVE",
            "address_2": "SUITE 280",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382700",
            "telephone_number": "541-289-1020",
            "fax_number": "541-289-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W ELM AVE",
            "address_2": "SUITE 280",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382700",
            "telephone_number": "541-289-1020",
            "fax_number": "541-289-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKKEN",
        "first_name": "BRENT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Heather A Bacon, PH.D.
• Cameron Baldwin, PTA
• Cindy Melissa Barnes, QMHA
• Hunter Charles Edward Barnes, DC
• Jessica Myong Barnes
• Robin Barnes, NP

• General Practice Dentistry in Hermiston, OR
• Providers in Hermiston, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.