Organization Active NPI

Ideal Telemedicine Services, LLC

  • Clinic/Center
  • Renton, WA
National Provider Identifier
1346754868
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
IDEAL TELEMEDICINE SERVICES, LLC
Practice address
500 SW 7TH St Ste A205
Renton, WA 98057-2983
Phone
(877) 522-1275
Fax
(833) 888-7145
NPI assigned
Nov 20, 2017
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Brian Jefferson DawsonNPI 1871540435
Title
Cmo
Phone
(509) 222-1275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X WA Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

500 SW 7TH St Ste A205
Renton, WA 98057-2983

Mailing address

500 SW 7TH St Ste A205
Renton, WA 98057-2983
Phone (877) 522-1275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, MT, ND, OR, WA, ID, AK, NE, DC, AR, WV, NM, TN, CA, ME, MI, SC, WI, TX, PA20 enrollments

Enrollment records 20

Enrollment IDStateProvider typePAC IDDetails
O20190625003692 MD Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 20 practitioners
Practice locations: Catonsville, MD; Cumberland, MD; Frederick, MD; Hagerstown, MD; Waldorf, MD
O20190708000200 MT Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 44 practitioners
Practice locations: Butte, MT; Missoula, MT; Kalispell, MT; Helena, MT; Great Falls, MT; Glasgow, MT; Cut Bank, MT; Bozeman, MT…
O20190710001382 ND Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 22 practitioners
Practice locations: Bismarck, ND; Fargo, ND; Grand Forks, ND; Minot, ND; Williston, ND
O20190715003330 OR Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 46 practitioners
Practice locations: Albany, OR; Springfield, OR; Salem, OR; Redmond, OR; Newport, OR; Eugene, OR; Corvallis, OR; Bend, OR…
O20190716002000 WA Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 100 practitioners
Practice locations: Puyallup, WA; Renton, WA; Seattle, WA; Spokane, WA; Spokane Valley, WA; Tacoma, WA; Vancouver, WA; Walla Walla, WA…
O20190716002529 ID Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 39 practitioners
Practice locations: Pocatello, ID; Sandpoint, ID; Lewiston, ID; Kellogg, ID; Coeur D Alene, ID; Idaho Falls, ID; Caldwell, ID; Boise, ID
O20190717000702 AK Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 18 practitioners
Practice locations: Anchorage, AK; Fairbanks, AK; Kenai, AK; Wasilla, AK
O20190729002948 NE Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE
O20191127001612 DC Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 15 practitioners
Practice locations: Rockville, MD
O20200311000756 AR Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 32 practitioners
Practice locations: Van Buren, AR; Russellville, AR; Fayetteville, AR; Paragould, AR; Little Rock, AR; Jacksonville, AR; Hot Springs, AR; Fort Smith, AR…
O20200316002248 WV Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 3 practitioners
Practice locations: Charles Town, WV; Fairmont, WV
O20200406000172 NM Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 36 practitioners
Practice locations: Albuquerque, NM; Rio Rancho, NM; Las Cruces, NM; Farmington, NM
O20240618002043 TN Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 1 practitioner
Practice locations: Elizabethton, TN
O20240619002157 CA Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 1 practitioner
Practice locations: Escondido, CA
O20240624001247 ME Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, ME
O20240816003212 MI Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 1 practitioner
Practice locations: Delton, MI
O20240819001590 SC Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 1 practitioner
Practice locations: York, SC
O20250508000196 WI Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 1 practitioner
Practice locations: Gillett, WI
O20250813000012 TX Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX
O20260219004579 PA Part B Supplier - Clinic/Group Practice 2860726221 Receives reassigned benefits from 1 practitioner
Practice locations: Greencastle, PA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 41)

1650 W Northern Lights Blvd
Anchorage, AK 99517
Phone (907) 339-0500

907 SE Village Loop
Ste 3
Bentonville, AR 72712

2521 Alma Hwy
Van Buren, AR 72956
Phone (479) 274-6800

4125 Gordon Dr
Sioux City, IA 51106
Phone (712) 258-4350

3918 N Schreiber Way
Coeur D Alene, ID 83815
Phone (509) 961-6672

380 N Capital Ave
Ste 1
Idaho Falls, ID 83402

516 N Rolling Rd
Ste 301
Catonsville, MD 21228
Phone (240) 791-6150

5972 Cahill Ave
Ste 112B
Inver Grove Heights, MN 55076

1240 3rd Ave E
Ste 100
Shakopee, MN 55379
Phone (952) 777-4996

2525 4th Ave N
Ste A
Billings, MT 59101

1532 Ellis St
Ste 104
Bozeman, MT 59715
Phone (406) 577-6319

2685 Palmer St
Ste D
Missoula, MT 59808
Phone (406) 327-4349

3111 S Grant St
Ste A
Missoula, MT 59801

316 2nd Ave W
Ste 1
Williston, ND 58801

313 W Country Club Rd
Ste 3
Roswell, NM 88201
Phone (505) 623-2828

1318 NW 9th St
Ste B
Corvallis, OR 97330

158 W Olive St
Newport, OR 97365
Phone (541) 248-2634

3800 Byron Ave
Ste 116
Bellingham, WA 98229
Phone (509) 416-0253

1918 Wall St
Everett, WA 98201
Phone (425) 471-6100

3624 Colby Ave
Ste B
Everett, WA 98201
Phone (425) 250-5551

8508 W Gage Blvd
Ste A101
Kennewick, WA 99336
Phone 8775221275 ext. 3049

8524 W Gage Blvd
Ste A2
Kennewick, WA 99336

8656 W Gage Blvd
Ste C301
Kennewick, WA 99336

8656 W Gage Blvd
Ste C303
Kennewick, WA 99336

1146 14th Ave
Longview, WA 98632

Practitioners & affiliated clinicians

Practitioners 114

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.

View all 114

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1346754868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SW 7TH ST STE A205",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572983",
            "telephone_number": "877-522-1275",
            "fax_number": "833-888-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SW 7TH ST STE A205",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572983",
            "telephone_number": "877-522-1275",
            "fax_number": "833-888-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL TELEMEDICINE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JEFFERSON",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "509-222-1275"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.