Patrick Bennett, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE60158370 Issued in WA

Practice address

20 SW 8TH Ave
Oak Harbor, WA 98277-5314

Phone

(360) 240-0800

Fax

(360) 240-0881

NPI assigned

May 15, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Island Prosthodontics

  • Prosthodontics
  • Oak Harbor, WA
  • NPI 1306246202
  NPD (past)
• Michael a. Lemme DDS, PLLC

  • General Practice Dentistry
  • Oak Harbor, WA
  • NPI 1659563781
  NPD (past)

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1972862696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SW 8TH AVE",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775314",
            "telephone_number": "360-250-0800",
            "fax_number": "360-240-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SW 8TH AVE",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775314",
            "telephone_number": "360-240-0800",
            "fax_number": "360-240-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE60158370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Becraft
• Abigail Rose Beeler
• Lotus Rose Beetle
• Michael Orland Bell, LMT
• David Beltz
• Rondle Bennett, D.C.
• Marybeth Bentley, BSW
• Ashley Benton
• Sarah Berg, LPN BAWS
• Christian Bergeron, MD

• Periodontics in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.