Michael George Mitchell, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00011090 Issued in WA

Practice address

1341 NE McWilliams Rd
Bremerton, WA 98311

Phone

(360) 782-1000

NPI assigned

Sep 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1508052978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 BELLEVUE WAY SE",
            "address_2": "#A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-454-4967",
            "fax_number": "425-454-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 NE MCWILLIAMS RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98311",
            "telephone_number": "360-782-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Red Mills Rd",
            "address_purpose": "LOCATION",
            "city": "Wallkill",
            "state": "NY",
            "postal_code": "125893224",
            "country_code": "US",
            "telephone_number": "845-744-9105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MICHAEL",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00011090",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "061001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Minters
• Miss Mary Community Development
• Aalysia Mitchell
• Barbara Ann Mitchell
• Dwight Gary Mitchell, RN
• Ashley Lynn Mitchusson, MA, MHP
• Rachel E Mittelstaedt Parsons, RD, CD
• Kristina Mitzner
• Kathleen Vahey Mobilia, MA
• Aubrey Moe

• Dentist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.