Organization Active NPI

Atkinson & Kaopua, PS

Doing business as Albright Family Dental

  • General Practice Dentistry
  • Everett, WA
National Provider Identifier
1578727269
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00008472 Issued in WA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
50519852MedicaidWA
5052378MedicaidWA

Other names 1

  • Albright Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.