NPIMap

Organization Active NPI

Bradley J Bemis PS

  • Dentist
  • Bothell, WA
National Provider Identifier
1750497848
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00004599 Issued in WA
Legal business name
BRADLEY J BEMIS PS
Practice address
18323 98TH Ave NE
Suite 4
Bothell, WA 98011-3358
Phone
(425) 485-8292
Fax
(425) 485-5732
NPI assigned
Aug 22, 2006
Last updated
Jan 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Bradley J Bemis, DDSNPI 1255746780
Title
Director
Phone
(425) 485-8292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE00004599 WA Primary

Addresses

Primary practice location

18323 98TH Ave NE
Suite 4
Bothell, WA 98011-3358

Mailing address

18323 98TH Ave NE
Suite 4
Bothell, WA 98011-3358
Phone (425) 485-8292

National Provider Directory

National Provider Directory

Locations

18323 98th Ave NE
Ste 4
Bothell, WA 98011
Phone (425) 485-8292

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1750497848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18323 98TH AVE NE",
            "address_2": "SUITE 4",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113358",
            "telephone_number": "425-485-8292",
            "fax_number": "425-485-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18323 98TH AVE NE",
            "address_2": "SUITE 4",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113358",
            "telephone_number": "425-485-8292",
            "fax_number": "425-485-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY J BEMIS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "BEMIS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-485-8292",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00004599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.