Active NPI
Brad Strong
- Dentist
- Rainier, OR
National Provider Identifier
1326189846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11010
- Practice address
- 608 W B Street
Rainier, OR 97016 - Phone
- (503) 556-0002
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7730183-9922 | UT | |
| General Practice Dentistry | 1223G0001X | 9196 | CO | |
| Dentist | 122300000X | 11010 | OR | Primary |
Addresses
Primary practice location
608 W B Street
Rainier, OR 97016
Mailing address
1008 Broadway St
Longview, WA 98632-3829
Phone (360) 423-7020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140107001285 | UT | Order and Referring Only - Oral Surgery | 7719115203 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11010 | OR | MD | Dentist |
| 9196 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brad Strong PLLC | Current | Accepting new patients | |
| Northwest Strong Family Dentistry | Current | Accepting new patients | |
| Strong Family Dentistry of Clatskanie | Current | Accepting new patients | |
| Sara L Evans DMD PC | General Practice | Past | Accepting new patients |
Locations
1008 Broadway St
Longview, WA 98632
Phone (360) 423-7020
Organizations & group practices 4
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.
-
- Dental Clinic/Center
- Rainier, OR
- NPI 1255139572
-
- Dental Clinic/Center
- Clatskanie, OR
- NPI 1215748033
-
dba strong family dentistry of Longview
- Dental Clinic/Center
- Longview, WA
- NPI 1427869247
-
dba Northwest Family Dental
- General Practice Dentistry
- Rainier, OR
- NPI 1013174895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1326189846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 BROADWAY ST",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986323829",
"telephone_number": "360-423-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 W B STREET",
"city": "RAINIER",
"state": "OR",
"postal_code": "97016",
"telephone_number": "503-556-0002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRONG",
"first_name": "BRAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2025-03-05",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "7730183-9922",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "9196",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "11010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rainier, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.