Organization Active NPI

Bradley Tew, D.D.S., P.S.

  • Dental Clinic/Center
  • Yakima, WA
National Provider Identifier
1730477431
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60164479 Issued in WA
Legal business name
BRADLEY TEW, D.D.S., P.S.
Practice address
121 N 50TH Ave
Yakima, WA 98908-2862
Phone
(509) 965-9451
NPI assigned
Jul 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Dr. Bradley D Tew, D.D.S.
Title
President
Phone
(509) 965-9451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE60164479 WA Primary

Addresses

Primary practice location

121 N 50TH Ave
Yakima, WA 98908-2862

Mailing address

121 N 50TH Ave
Yakima, WA 98908-2862
Phone (509) 965-9451

National Provider Directory

National Provider Directory

Locations

121 N 50th Ave
Yakima, WA 98908
Phone (509) 930-7777

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1730477431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N 50TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082862",
            "telephone_number": "509-965-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N 50TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989082862",
            "telephone_number": "509-965-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY TEW, D.D.S., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "TEW",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-965-9451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60164479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.