Individual provider Active NPI

Brian Curtiss Rubens, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Bothell, WA
National Provider Identifier
1841391364
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DE00005479 Issued in WA
Practice address
22232 17TH Ave SE
Suite 209 Canyon Park Office Center
Bothell, WA 98021-7411
Phone
(425) 489-8274
Fax
(425) 487-9506
NPI assigned
Sep 26, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DE00005479 WA Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X GA10000140 WA

Addresses

Primary practice location

22232 17TH Ave SE
Suite 209 Canyon Park Office Center
Bothell, WA 98021-7411

Mailing address

22232 17TH Ave SE
Suite 209 Canyon Park Office Center
Bothell, WA 98021-7411
Phone (425) 489-8274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403002453 WA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2769614403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE00005479WAMDOral and Maxillofacial Surgery (Dentist)
GA10000140WAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Steen and Peysakhov PLLC PastSince Jan 26, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1841391364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22232 17TH AVE SE",
            "address_2": "SUITE 209 CANYON PARK OFFICE CENTER",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217411",
            "telephone_number": "425-489-8274",
            "fax_number": "425-487-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22232 17TH AVE SE",
            "address_2": "SUITE 209 CANYON PARK OFFICE CENTER",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217411",
            "telephone_number": "425-489-8274",
            "fax_number": "425-487-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENS",
        "first_name": "BRIAN",
        "middle_name": "CURTISS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE00005479",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "GA10000140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.