Individual provider Active NPI

Brad Strong

  • Dentist
  • Rainier, OR
National Provider Identifier
1326189846
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11010 Issued in OR
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

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140107001285 UT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7719115203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11010ORMDDentist
9196COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brad Strong PLLC CurrentSince Jan 26, 2025 Accepting new patients
Northwest Strong Family Dentistry CurrentSince Mar 11, 2025 Accepting new patients
Strong Family Dentistry of Clatskanie Current Accepting new patients
Sara L Evans DMD PC General Practice PastSince Mar 11, 2025 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.

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

Verify at the official NPI Registry.