Individual provider Active NPI

Jason Bressler, DDS

  • General Practice Dentistry
  • Bothell, WA
National Provider Identifier
1891016036
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60169973 Issued in WA
Practice address
22703 Bothell Everett Hwy
Suite E
Bothell, WA 98021-8494
Phone
(425) 488-1480
Fax
(425) 489-9997
NPI assigned
Jun 22, 2010
Last updated
Jun 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60169973 WA Primary

Addresses

Primary practice location

22703 Bothell Everett Hwy
Suite E
Bothell, WA 98021-8494

Mailing address

22703 Bothell Everett Hwy
Suite E
Bothell, WA 98021-8494
Phone (425) 488-1480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE60169973WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
KZ Hsue DDS PLLC General Practice Past 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": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1891016036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22703 BOTHELL EVERETT HWY",
            "address_2": "SUITE E",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218494",
            "telephone_number": "425-488-1480",
            "fax_number": "425-489-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22703 BOTHELL EVERETT HWY",
            "address_2": "SUITE E",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218494",
            "telephone_number": "425-488-1480",
            "fax_number": "425-489-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESSLER",
        "first_name": "JASON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60169973",
            "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 Jun 22, 2010; 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.