Active NPI
Brendan Hay
- Dentist
- Olympia, WA
National Provider Identifier
1932653185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60680245
- Practice address
- 4210 Martin Way E
Olympia, WA 98516-5325 - Phone
- (360) 455-9544
- NPI assigned
- Aug 4, 2016
- Sex
- Male
- 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 | DE60680245 | WA | Primary |
| General Practice Dentistry | 1223G0001X | DE60680245 | WA |
Addresses
Primary practice location
4210 Martin Way E
Olympia, WA 98516-5325
Mailing address
4210 Martin Way E
Olympia, WA 98516-5325
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 |
|---|---|---|---|
| DE60680245 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470268800000",
"number": "1932653185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4210 MARTIN WAY E",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985165325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4210 MARTIN WAY E",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985165325",
"telephone_number": "360-455-9544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAY",
"first_name": "BRENDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-04",
"last_updated": "2016-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60680245",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE60680245",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.