Individual provider Active NPI

Brittany Tamar Dean, DDS, MSD

  • Pediatric Dentistry
  • Mount Vernon, WA
National Provider Identifier
1871868828
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE60375862 Issued in WA
Practice address
Kulshan Pediatric Dentistry
2210 Kulshan View Dr
Mt Vernon, WA 98273
Phone
(360) 424-4811
NPI assigned
Mar 8, 2012
Last updated
Jul 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60375862 WA
Pediatric Dentistry 1223P0221X DE60375862 WA Primary

Addresses

Primary practice location

Kulshan Pediatric Dentistry
2210 Kulshan View Dr
Mt Vernon, WA 98273

Mailing address

913 Sea Vista PL
Edmonds, WA 98020-3950

Other practice location 1

23320 Highway 99
Edmonds, WA 98026
Phone (425) 640-5533

Other names 1

  • Brittany Tamar Bensch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 16, 2024 through Jul 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60375862WAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Winston & Letwin DDS, PLLC PastSince Jul 24, 2022 Accepting new patients
Peregrine Pacific Anesthesia PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brittanyd@direct-searhc.org

Organizations & group practices 3

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": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1871868828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 SEA VISTA PL",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KULSHAN PEDIATRIC DENTISTRY",
            "address_2": "2210 KULSHAN VIEW DR",
            "city": "MT VERNON",
            "state": "WA",
            "postal_code": "98273",
            "telephone_number": "360-424-4811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23320 Highway 99",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "98026",
            "country_code": "US",
            "telephone_number": "425-640-5533",
            "fax_number": "425-640-5534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "BRITTANY",
        "middle_name": "TAMAR",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60375862",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60375862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "BENSCH",
            "middle_name": "TAMAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.