Brett J Nydegger DDS Ms

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE60366761 Issued in WA

Legal business name

BRETT J NYDEGGER DDS MS

Practice address

509 Olive Way
Suite 637
Seattle, WA 98101-1720

Phone

(206) 624-5115

Fax

(206) 623-4338

NPI assigned

Jul 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Brett J Nydegger, DDS MSNPI 1548543374

Title

Owner Ceo

Phone

(206) 624-5115

Specialties & licenses 1

Addresses

Other names 1

• endodontic Specialists Seattle Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brett Nydegger, D.D.S.

  • Endodontics
  • Columbus, OH
  • NPI 1548543374
  NPD (past) Authorized official

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1962855494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "SUITE 637",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-624-5115",
            "fax_number": "206-623-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "SUITE 637",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-624-5115",
            "fax_number": "206-623-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT J NYDEGGER DDS MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "NYDEGGER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "206-624-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60366761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "endodontic Specialists Seattle",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christina M Bresina
• Wanda W Bresnick, M.S.W.
• Matthew Bressie, M.D.
• Anita Marie Brethauer, PHARM.D.
• Linda Renee Brethorst
• Brett Yamane MD PLLC
• Andrea Kerer Breuner, PA-C
• Cora C. Breuner, MD
• Richard J. Breuner, MD
• Joyce Brew

• All providers in Seattle, WA
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.