Dennis L Bradshaw

Primary specialty

DentistTaxonomy code 122300000X

License

6183 Issued in WA

Legal business name

DENNIS L BRADSHAW

Practice address

4403 W Court St
Suite a
Pasco, WA 99301-2879

Phone

(509) 547-9549

Fax

(509) 547-6604

NPI assigned

Mar 23, 2010

Last updated

Mar 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dennis L Bradshaw, DDSNPI 1508991951

Title

President

Phone

(509) 547-9549

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dennis Lyle Bradshaw, D D S

  • General Practice Dentistry
  • Pasco, WA
  • NPI 1508991951
  NPD (past) Authorized official

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1548584337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 W COURT ST",
            "address_2": "SUITE A",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012879",
            "telephone_number": "509-547-9549",
            "fax_number": "509-547-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 W COURT ST",
            "address_2": "SUITE A",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012879",
            "telephone_number": "509-547-9549",
            "fax_number": "509-547-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS L BRADSHAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-547-9549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "6183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen M Dechter, DO
• Allyssa Leigh Deems, M.A., CCC-SLP
• Jaileene G. Dejuan, MS/SLP-CCC
• Elma Tirol Deleon, MD
• Jesus Javier Delgado
• Michelle Kaye Deusner-Granrud, LMP
• Alejandro Diaz Jr.
• Marisa Diaz, R.N.
• Tami Diaz
• Donald George Dicken, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.