NPIMap

Organization Active NPI

Fogle Family Dentistry

  • Dentist
  • Bremerton, WA
National Provider Identifier
1669781977
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60140278 Issued in WA
Legal business name
FOGLE FAMILY DENTISTRY
Practice address
1275 NE Franklin Ave
Suite a
Bremerton, WA 98311-3005
Phone
(360) 377-0803
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Jay Bradford Fogle, DDSNPI 1962713057
Title
Owner/Dentist
Phone
(206) 992-4148

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 60140278 WA Primary

Addresses

Primary practice location

1275 NE Franklin Ave
Suite a
Bremerton, WA 98311-3005

Mailing address

1275 NE Franklin Ave
Suite a
Bremerton, WA 98311-3005
Phone (360) 377-0803

National Provider Directory

National Provider Directory

Locations

1275 NE Franklin Ave
Ste A
Bremerton, WA 98311
Phone (360) 377-0803

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1669781977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 NE FRANKLIN AVE",
            "address_2": "SUITE A",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113005",
            "telephone_number": "360-377-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 NE FRANKLIN AVE",
            "address_2": "SUITE A",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113005",
            "telephone_number": "360-377-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOGLE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "FOGLE",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "206-992-4148",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "60140278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.