Active NPI
Tracyton Dental Center
- Dental Clinic/Center
- Bremerton, WA
National Provider Identifier
1508019068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 4791
- Legal business name
- TRACYTON DENTAL CENTER
- Practice address
- 5011 May St NW
Bremerton, WA 98311-2342 - Phone
- (360) 479-4152
- NPI assigned
- Oct 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Bruce Robinson Jr., DDS
- Title
- Dentist/Owner
- Phone
- (360) 479-4152
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 4791 | WA | Primary |
Addresses
Primary practice location
5011 May St NW
Bremerton, WA 98311-2342
Mailing address
5011 May St NW
Bremerton, WA 98311-2342
Phone (360) 479-4152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4791 | Other | WA | STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
5011 May St NW
Bremerton, WA 98311
Phone (360) 479-4152
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Bremerton, WA
- NPI 1386711893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225152000000",
"number": "1508019068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5011 MAY ST NW",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983112342",
"telephone_number": "360-479-4152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5011 MAY ST NW",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983112342",
"telephone_number": "360-479-4152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRACYTON DENTAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-28",
"last_updated": "2008-10-28",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "BRUCE",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "360-479-4152",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "WA",
"license": "4791",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4791",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.