Richard Oliver Bienenfeld, DDS PS

Primary specialty

DentistTaxonomy code 122300000X

License

4831 Issued in WA

Practice address

12815 120TH Ave NE
Suite G Evergreen Medical Dental Center
Kirkland, WA 98034

Phone

(425) 821-9600

Fax

(425) 820-6682

NPI assigned

Sep 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr, Richard Bienenfeld, D.D.S.

  • Dental Clinic/Center
  • Kirkland, WA
  • NPI 1104093319
  NPD (past)

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1508960857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12815 120TH AVE NE",
            "address_2": "SUITE G EVERGREEN MEDICAL DENTAL CENTER",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-821-9600",
            "fax_number": "425-820-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12815 120TH AVE NE",
            "address_2": "SUITE G EVERGREEN MEDICAL DENTAL CENTER",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-821-9600",
            "fax_number": "425-820-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENENFELD",
        "first_name": "RICHARD",
        "middle_name": "OLIVER",
        "credential": "DDS PS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "4831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle Colleen Bickel, PT, DPT
• Heidi Biehl, DPT
• Kristina Biggs
• Alissa Camilla Bill, ND
• Kurt R Billett, M.D.
• Peter S Billing, MD
• Timothy W Billings, PA

• All providers in Kirkland, WA
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.