Janella Bermudez, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE61285544 Issued in WA

Practice address

3900 E Valley Rd Ste 105
Renton, WA 98057-4954

Phone

(425) 255-5532

Fax

(425) 255-1658

NPI assigned

Mar 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Interoperability endpoints

• Direct secure messaging: jbermudez771615@direct.multicare.org

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1588312656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 NW 56TH ST APT 626",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074460",
            "telephone_number": "509-531-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 E VALLEY RD STE 105",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574954",
            "telephone_number": "425-255-5532",
            "fax_number": "425-255-1658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9650 15th Ave SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981062576",
            "country_code": "US",
            "telephone_number": "206-965-1005",
            "fax_number": "206-965-1042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "JANELLA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE61285544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2210569",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbermudez11769@ce.yvfwc.org",
            "affiliation": "N",
            "endpointDescription": "YVFWC Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2611 S Quillan Pl",
            "city": "Kennewick",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993381899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Mae Bergeron, MSW
• Kathleen A Bergquist, RN
• Reza Roy Berjis, MD
• Trista Bryelle Berlien, LMP
• Christopher Jack Berlin, MD
• Regan Bernal, RDH
• Samantha Elizabeth Bernal
• Gabrielle Dionyse Lauren Bernard, MD
• Robert Willis Bernard, LMP
• Michael James Bernardi, OD

• Pediatric Dentistry in Renton, WA
• Providers in Renton, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.