NPIMap

Organization Active NPI

Redmond Family Dentistry

  • Dental Clinic/Center
  • Redmond, WA
National Provider Identifier
1497360119
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
REDMOND FAMILY DENTISTRY
Practice address
16260 NE 85TH St
Redmond, WA 98052-3528
Phone
(425) 883-6874
NPI assigned
Sep 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Dr. Brian D Williams, DDSNPI 1760600100
Title
Dentist/ Owner
Phone
(206) 683-3307

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

16260 NE 85TH St
Redmond, WA 98052-3528

Mailing address

9524 SE 68TH St
Mercer Island, WA 98040-5119
Phone (206) 659-4487

National Provider Directory

National Provider Directory

Locations

16260 NE 85th St
Redmond, WA 98052
Phone (206) 883-6565

1620 Duvall Ave NE
Renton, WA 98059

Practitioners & affiliated clinicians

Practitioners 3

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": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1497360119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9524 SE 68TH ST",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980405119",
            "telephone_number": "206-659-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 NE 85TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523528",
            "telephone_number": "425-883-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMOND FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "206-683-3307",
        "authorized_official_name_prefix": "Dr.",
        "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 Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.