Organization Active NPI

Judson a. Werner, DDS, PS

  • Dental Clinic/Center
  • Bellevue, WA
National Provider Identifier
1407704489
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JUDSON A. WERNER, DDS, PS
Practice address
2150 112TH Ave NE Ste B
Bellevue, WA 98004-2975
Phone
(425) 454-2892
Fax
(425) 451-8266
NPI assigned
Mar 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Judson Werner, DDSNPI 1184710089
Title
President
Phone
(425) 454-2892

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2150 112TH Ave NE Ste B
Bellevue, WA 98004-2975

Mailing address

2150 112TH Ave NE Ste B
Bellevue, WA 98004-2975
Phone (425) 454-2892

National Provider Directory

National Provider Directory

Locations

2150 112th Ave NE
Ste B
Bellevue, WA 98004
Phone (425) 454-2892

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1407704489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 112TH AVE NE STE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042975",
            "telephone_number": "425-454-2892",
            "fax_number": "425-451-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 112TH AVE NE STE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042975",
            "telephone_number": "425-454-2892",
            "fax_number": "425-451-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDSON A. WERNER, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "JUDSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-454-2892",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.