NPIMap

Organization Active NPI

Brad a Larreau DDS PS

  • General Practice Dentistry
  • Arlington, WA
National Provider Identifier
1346471687
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
600074615 Issued in WA
Legal business name
BRAD A LARREAU DDS PS
Practice address
3210 Smokey Point Dr Ste 102
Arlington, WA 98223-7805
Phone
(360) 653-5577
Fax
(360) 659-1125
NPI assigned
Aug 4, 2009
Last updated
Aug 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Ms. Julie A Dodge
Title
Consultant
Phone
(206) 931-4410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 600074615 WA Primary

Addresses

Primary practice location

3210 Smokey Point Dr Ste 102
Arlington, WA 98223-7805

Mailing address

3210 Smokey Point Dr Ste 102
Arlington, WA 98223-7805
Phone (360) 653-5577

National Provider Directory

National Provider Directory

Locations

3210 Smokey Point Dr
Ste 102
Arlington, WA 98223
Phone (360) 653-5577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1346471687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 SMOKEY POINT DR STE 102",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982237805",
            "telephone_number": "360-653-5577",
            "fax_number": "360-659-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 SMOKEY POINT DR STE 102",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982237805",
            "telephone_number": "360-653-5577",
            "fax_number": "360-659-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD A LARREAU DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "206-931-4410",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "600074615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.