Organization Active NPI

Ak Dental

Doing business as Atkinson Family Dentistry

  • General Practice Dentistry
  • Sedro Woolley, WA
National Provider Identifier
1366612202
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00009149 Issued in WA
Legal business name
AK DENTAL
Doing business as
Atkinson Family Dentistry
Practice address
727 Trail Rd Ste a
Sedro Woolley, WA 98284-9335
Phone
(360) 856-6398
Fax
(360) 856-1777
NPI assigned
Mar 6, 2008
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Brandon L Atkinson, DMD
Title
President
Phone
(360) 766-4192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00009149 WA Primary

Addresses

Primary practice location

727 Trail Rd Ste a
Sedro Woolley, WA 98284-9335

Mailing address

727 Trail Rd Ste a
Sedro Woolley, WA 98284-9335
Phone (360) 856-6398

Other names 1

  • Atkinson Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

727 Trail Rd
Ste A
Sedro Woolley, WA 98284
Phone (360) 856-6398

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1366612202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 TRAIL RD STE A",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849335",
            "telephone_number": "360-856-6398",
            "fax_number": "360-856-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 TRAIL RD STE A",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849335",
            "telephone_number": "360-856-6398",
            "fax_number": "360-856-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-766-4192",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atkinson Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.