Individual provider Active NPI

Daniel Bickel, D.D.S.

  • Dentist
  • Redmond, WA
National Provider Identifier
1689938896
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60294860 Issued in WA
Practice address
16455 NE 85TH St Ste 101
Redmond, WA 98052-3673
Phone
(425) 883-1331
Fax
(425) 556-0763
NPI assigned
Jul 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60294860 WA Primary

Addresses

Primary practice location

16455 NE 85TH St Ste 101
Redmond, WA 98052-3673

Mailing address

16455 NE 85TH St Ste 101
Redmond, WA 98052-3673
Phone (425) 883-1331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE60294860WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kleist Bickel DDS PLLC Current Accepting new patients
Daniel Bickel DDS, PLLC Dentist CurrentSince Jul 31, 2023 Accepting new patients
David Au-Yeung, DMD., PLLC PastSince Apr 30, 2023 Accepting new patients

Locations

16455 NE 85th St
Ste 101
Redmond, WA 98052
Phone (425) 883-1331

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1689938896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16455 NE 85TH ST STE 101",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523673",
            "telephone_number": "425-883-1331",
            "fax_number": "425-556-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 NE 85TH ST STE 101",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523673",
            "telephone_number": "425-883-1331",
            "fax_number": "425-556-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKEL",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60294860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.