Individual provider Active NPI

Bradley Michael Almond, DMD

  • General Practice Dentistry
  • Kennewick, WA
National Provider Identifier
1700969029
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60599849 Issued in WA
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

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
9199COMDDentist
DE60599849WAMDGeneral 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

Verify at the official NPI Registry.