Active NPI
Atkinson & Kaopua, PS
Doing business as Albright Family Dental
- General Practice Dentistry
- Everett, WA
National Provider Identifier
1578727269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE00008472
- Legal business name
- ATKINSON & KAOPUA, PS
- Doing business as
- Albright Family Dental
- Practice address
- 111 SE Everett Mall Way Ste D
Everett, WA 98208-3208 - Phone
- (425) 267-3333
- NPI assigned
- Jul 11, 2008
- Last updated
- Jul 11, 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. Brandon Lloyd Atkinson, D.M.D.
- Title
- Presdient
- Phone
- (360) 766-4192
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE60023532 | WA | |
| General Practice Dentistry | 1223G0001X | DE0009149 | WA | |
| General Practice Dentistry | 1223G0001X | DE00008472 | WA | Primary |
Addresses
Primary practice location
111 SE Everett Mall Way Ste D
Everett, WA 98208-3208
Mailing address
PO Box 296
Bow, WA 98232-0296
Phone (360) 766-4192
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50519852 | Medicaid | WA | |
| 5052378 | Medicaid | WA |
Other names 1
- Albright Family Dental
National Provider Directory
National Provider DirectoryLocations
111 SE Everett Mall Way
Ste D
Everett, WA 98208
Phone (425) 267-3333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215734400000",
"number": "1578727269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 296",
"city": "BOW",
"state": "WA",
"postal_code": "982320296",
"telephone_number": "360-766-4192",
"fax_number": "360-766-4192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SE EVERETT MALL WAY STE D",
"city": "EVERETT",
"state": "WA",
"postal_code": "982083208",
"telephone_number": "425-267-3333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATKINSON & KAOPUA, PS",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-11",
"last_updated": "2008-07-11",
"status": "A",
"authorized_official_last_name": "ATKINSON",
"authorized_official_first_name": "BRANDON",
"authorized_official_middle_name": "LLOYD",
"authorized_official_title_or_position": "PRESDIENT",
"authorized_official_telephone_number": "360-766-4192",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE60023532",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE0009149",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00008472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50519852",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5052378",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Albright Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.