Brett C Fidler, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE00004616 Issued in WA

Practice address

4100 Factoria Blvd SE
Ste B
Bellevue, WA 98006-1262

Phone

(425) 747-3300

Fax

(425) 641-1339

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982720363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 122ND PL NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051237",
            "telephone_number": "425-765-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 FACTORIA BLVD SE",
            "address_2": "STE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061262",
            "telephone_number": "425-747-3300",
            "fax_number": "425-641-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDLER",
        "first_name": "BRETT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00004616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian L Ferris, MD
• Margaret Terese Ferris, SUDP
• Kara L Fery
• Brian Fetty, LMP
• Alisa Virginia Feuerstein
• Kailey Michelle Fiedler, MA, CRC
• Joshua Douglas Field, DPT
• Kerry Leann Field, DPT
• Fifteenth Senior Care LLC
• Fight for W, LLC (Sphosh Health)

• Orthodontics and Dentofacial Orthopedics Dentistry in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.