NPIMap

Organization Active NPI

Bret Jacobson DDS PS

  • General Practice Dentistry
  • Federal Way, WA
National Provider Identifier
1922116003
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00008218 Issued in WA
Legal business name
BRET JACOBSON DDS PS
Practice address
1718 S 288TH St
Federal Way, WA 98003-2981
Phone
(253) 839-4111
Fax
(253) 839-3573
NPI assigned
Aug 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bret Jacobson, DDSNPI 1790893956
Title
Owner
Phone
(253) 839-4111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00008218 WA Primary

Addresses

Primary practice location

1718 S 288TH St
Federal Way, WA 98003-2981

Mailing address

1718 S 288TH St
Federal Way, WA 98003-2981
Phone (253) 839-4111

National Provider Directory

National Provider Directory

Locations

1718 S 288th St
Federal Way, WA 98003
Phone (253) 839-4111

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922116003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 S 288TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980032981",
            "telephone_number": "253-839-4111",
            "fax_number": "253-839-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 S 288TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980032981",
            "telephone_number": "253-839-4111",
            "fax_number": "253-839-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRET JACOBSON DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-839-4111",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.