Jeanette Lynn Brandal, DDS, MSD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

5692 Issued in WA

Practice address

509 Olive Way
1556
Seattle, WA 98101-1720

Phone

(206) 292-9926

Fax

(206) 292-0312

NPI assigned

Dec 29, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Colic and Patel PLLC, Dba Endodontics NW

  • Endodontics
  • Seattle, WA
  • NPI 1861330615
  NPD (past)
• E2 Medical Group PLLC

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1861259939
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336205541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "1556",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-292-9926",
            "fax_number": "206-292-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "1556",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-292-9926",
            "fax_number": "206-292-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDAL",
        "first_name": "JEANETTE",
        "middle_name": "LYNN",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "5692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Robert Branch
• Ann Marie Branchaud, M.D.
• Alex Everist Brand
• Jessica Brand, PHD
• Sarah Brandabur, MA, LMHCA
• Linda M. Brandeis, LICSW
• Adelheid Ute Brandenberger, MD
• Jared Brandenberger, M.D.
• Luke Otto Brandenberger, MD
• Haley Brandenburg

• Endodontics in Seattle, WA
• Providers in Seattle, WA by specialty
• Endodontics in Washington

• 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.