Active NPI
Bradley Michael Almond, DMD
- General Practice Dentistry
- Kennewick, WA
National Provider Identifier
1700969029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE60599849
- Practice address
- 419 N Yelm St
Kennewick, WA 99336-3001 - Phone
- (509) 783-1000
- Fax
- (509) 578-5407
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9199 | CO | |
| General Practice Dentistry | 1223G0001X | DE60599849 | WA | Primary |
Addresses
Primary practice location
419 N Yelm St
Kennewick, WA 99336-3001
Mailing address
419 N Yelm St
Kennewick, WA 99336-3001
Phone (509) 783-1000
Other practice location 1
1221 S Pueblo Blvd
Pueblo, CO 81005
Phone (719) 565-2274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 23, 2017 through Mar 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9199 | CO | MD | Dentist |
| DE60599849 | WA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1700969029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 N YELM ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993363001",
"telephone_number": "509-783-1000",
"fax_number": "509-578-5407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 N YELM ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993363001",
"telephone_number": "509-783-1000",
"fax_number": "509-578-5407"
}
],
"practiceLocations": [
{
"address_1": "1221 S Pueblo Blvd",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "81005",
"country_code": "US",
"telephone_number": "719-565-2274",
"fax_number": "719-542-6435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALMOND",
"first_name": "BRADLEY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "9199",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE60599849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.