MR. JOSEPH BRANDON KIMMEL (NPI# 1740700145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740700145 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH BRANDON KIMMEL |
| Credential | LICENSED DENTURIST |
| Practice Address |
5032 Beverly Dr Ne Olympia WA 98516 |
| Practice Telephone | 3607049070 |
| Mailing Telephone | 3607049070 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DENTURIST LICENSE | DN60737872 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871854844 | Joseph Kimmel | Anesthesiology | 550 1st Ave, New York, NY 10016-6402 | 2012-06-06 |
| Street Address |
5032 BEVERLY DR NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| 1922447572 | Nell Elizabeth Hathaway | Behavior Technician | 9333 Martin Way East, Suite 214, Lacey, WA 98516 | 2013-06-17 |
| Find all providers in zip 98516 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093907222 | James M Elvin | Denturist | 1401 4th Ave E, Olympia, WA 98506-4484 | 2007-08-12 |
| 1851459069 | Lilly Denture Center, Inc | Denturist | 200 Lilly Rd Ne Ste A, Olympia, WA 98506-5080 | 2006-12-04 |
| 1700960978 | Julie Grace Stone | Denturist | 1700 Cooper Point Rd Sw Ste B3, Olympia, WA 98502-1110 | 2006-10-24 |
| 1740602176 | Patrick Carbone | Denturist | 200 Lilly Rd Ne Ste A, Olympia, WA 98506-5080 | 2014-01-21 |
| 1245359926 | Discovery Denture Center, Inc. | Denturist | 1700 Cooper Point Rd Sw Ste B3, Olympia, WA 98502-1110 | 2007-03-27 |
| 1891835310 | Fred E Ellis | Denturist | 1822 Black Lake Blvd Sw, Suite 101, Olympia, WA 98512 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427689421 | Tri-cities Denture Studio Pllc | Denturist | 3909 Creekside Loop Ste 110, Yakima, WA 98902-4880 | 2020-01-29 |
| 1447894811 | Michael Hu | Denturist | 430 N West Ave Ste 3, Arlington, WA 98223-1539 | 2019-10-29 |
| 1265999494 | Sagebrush Dental LLC | Denturist | 1114 N Mission St Ste C, Wenatchee, WA 98801-6711 | 2019-02-24 |
| 1295299113 | Stephanie Jean Hemenway | Denturist | 209 W Main Ave., Morton, WA 98356 | 2019-01-24 |
| 1538633664 | Trang Phung | Denturist | 1242 State Ave Ste G, Marysville, WA 98270-3672 | 2019-01-11 |
| 1053884338 | Juan Edward Berlanga | Denturist | 654 N Rochester St, Tacoma, WA 98406-1724 | 2019-01-09 |
| 1346713765 | Cody M Dunivin | Denturist | 129 Valley Meadows Dr, Chehalis, WA 98532-8652 | 2019-01-08 |
| 1841765682 | Andrew Payne | Denturist | 714 N Chelan Ave, Wenatchee, WA 98801-2069 | 2018-10-08 |
| 1154811982 | Jayson Allen Laney | Denturist | 4001 Colby Ave Ste 2, Everett, WA 98201-6208 | 2018-05-17 |
| 1932697117 | Jason Lee Alsbury | Denturist | 1715 W Kennewick Ave, Kennewick, WA 99336-3378 | 2018-04-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. JOSEPH BRANDON KIMMEL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.