Active NPI
Bruce Frederick Nixon, DDS
- Dentist
- Everett, WA
National Provider Identifier
1992799324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00004521
- Practice address
- 3430 Colby Ave
Everett, WA 98201-4710 - Phone
- (425) 259-6551
- Fax
- (425) 258-0477
- NPI assigned
- Aug 31, 2005
- Reactivated
- Mar 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE00004521 | WA | Primary |
Addresses
Primary practice location
3430 Colby Ave
Everett, WA 98201-4710
Mailing address
3430 Colby Ave
Everett, WA 98201-4710
Phone (425) 259-6551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5516000 | Other | WA | DEPT OF SOCIAL & HEALTH |
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 |
|---|---|---|---|
| DE00004521 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckland and Eckland PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Everett, WA
- NPI 1023731080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992799324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3430 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014710",
"telephone_number": "425-259-6551",
"fax_number": "425-258-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014710",
"telephone_number": "425-259-6551",
"fax_number": "425-258-0477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "BRUCE",
"middle_name": "FREDERICK",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2026-07-13",
"deactivation_date": "2006-03-24",
"reactivation_date": "2006-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00004521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF SOCIAL & HEALTH",
"identifier": "5516000",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.