Active NPI
Constance Joy Brester, DDS
- Dentist
- Camas, WA
National Provider Identifier
1902225113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60393670
- Practice address
- 403 NE 6TH Ave
Camas, WA 98607-2037 - Phone
- (360) 834-2182
- NPI assigned
- Apr 15, 2014
- Last updated
- Jul 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60393670 | WA | Primary |
Addresses
Primary practice location
403 NE 6TH Ave
Camas, WA 98607-2037
Mailing address
411 NE 6TH Ave
Camas, WA 98607-2037
Phone (360) 834-2182
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE60393670 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason S Brester DDS PLLC | 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": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1902225113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 NE 6TH AVE",
"city": "CAMAS",
"state": "WA",
"postal_code": "986072037",
"telephone_number": "360-834-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 NE 6TH AVE",
"city": "CAMAS",
"state": "WA",
"postal_code": "986072037",
"telephone_number": "360-834-2182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESTER",
"first_name": "CONSTANCE",
"middle_name": "JOY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60393670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.