Active NPI
Madyson Leith
- Dental Assistant
- Bremerton, WA
National Provider Identifier
1508535568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- Practice address
- 3036 Perry Ave Ste C
Bremerton, WA 98310-5300 - Phone
- (360) 218-3072
- NPI assigned
- Sep 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | Primary |
Addresses
Primary practice location
3036 Perry Ave Ste C
Bremerton, WA 98310-5300
Mailing address
1790 Sidney Ave Apt 2-106
Port Orchard, WA 98366-2462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631404800000",
"number": "1508535568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 SIDNEY AVE APT 2-106",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983662462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3036 PERRY AVE STE C",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983105300",
"telephone_number": "360-218-3072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEITH",
"first_name": "MADYSON",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-12",
"last_updated": "2021-09-12",
"certification_date": "2021-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.