Brandon Michael Wilburn, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DE61433639 Issued in WA

Practice address

1300 Esther St Ste 101
Vancouver, WA 98660-2890

Phone

(360) 693-4701

NPI assigned

Jul 18, 2023

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• Shawn P Platt DMD PLLC

  • Prosthodontics
  • Vancouver, WA
  • NPI 1194533117
  NPD

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1700566551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 N PIONEER CANYON DR",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986428034",
            "telephone_number": "307-679-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ESTHER ST STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602890",
            "telephone_number": "360-693-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WA",
            "license": "DE61433639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennafer R Wike
• Alana Mariah Wikkeling
• Kallie A Wikman, DPT
• Kara M Wiksell, MA
• Thomas Wilbanks
• Danielle Renee Wilcox, BA
• Evelyn J Wilcox, C.R.N.A.
• Lee A Wilcox, M.D.
• Wild Heart Society PLLC
• William Roy Wilde, DMD

• Prosthodontics in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Prosthodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.