Cason Frederick Culberson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9112 Issued in WA

Practice address

16030 Bothell Everett Hwy Ste 280
Mill Creek, WA 98012-1599

Phone

(425) 481-4974

Fax

(425) 338-4930

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679796056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY STE 280",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121599",
            "telephone_number": "425-481-4974",
            "fax_number": "425-338-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 BOTHELL EVERETT HWY STE 280",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121599",
            "telephone_number": "425-481-4974",
            "fax_number": "425-338-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULBERSON",
        "first_name": "CASON",
        "middle_name": "FREDERICK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "9112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossfunction Sports Massage
• Crossfunction Sports Massage, PLLC
• Crossfunction Sports Recovery, PLLC
• Kandice Lynnette-Zophia Crown-Payne, ARNP
• Karen Cubas, OT
• D Greenhalgh DDS PLLC
• Daniel Marcus Fricke Professional Servie Corporation
• Renee Danks, DPM
• Darren Greenhalgh DDS PLLC
• Nahal Darvish, DMD

• General Practice Dentistry in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.