Mt Si Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7403 Issued in WA

Legal business name

MT SI DENTAL CENTER

Practice address

208 Main Ave S
North Bend, WA 98045-8258

Phone

(425) 888-6522

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kris W Brain, D.D.S

Title

Dentist

Phone

(425) 888-6522

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1932279304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1099",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980451099",
            "telephone_number": "425-888-6522",
            "fax_number": "425-888-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MAIN AVE S",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458258",
            "telephone_number": "425-888-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT SI DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BRAIN",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-888-6522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "7403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Morita, MA, CCC-SLP
• James Darrel Morley, LMHC, CDP
• Alex Morra
• Jessica Anne Morrissey
• Mountain View Pediatric Speech & Language
• Mt Si Transitional Health Center
• Beth L Murphy, PSY.D.
• Emily Newman, BCBA
• Laura Nicolosi, LMP
• North Bend Anesthesia Billing, LLC

• General Practice Dentistry in North Bend, WA
• Providers in North Bend, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.