Active NPI
Brittany Tamar Dean, DDS, MSD
- Pediatric Dentistry
- Mount Vernon, WA
National Provider Identifier
1871868828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE60375862
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE60375862 | WA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Winston & Letwin DDS, PLLC | Past | Accepting new patients | |
| Peregrine Pacific Anesthesia PLLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba SEARHC Mt. Edgecumbe Medical Center
- Critical Access Hospital
- Sitka, AK
- NPI 1720062524
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1891065595
-
dba Seattle Special Care Dentistry
- General Practice Dentistry
- Seattle, WA
- NPI 1669655767
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.