ETHAN LEE BROCKETT DDS
NPI 1487201695
Dentist in Spokane, WA

Q: What is Ethan Brockett's NPI number?

The NPI number for Ethan Brockett is 1487201695. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Q: What is Ethan Brockett's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Brockett was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 22, 2019PECOS Enrolled

3919 N MAPLE ST, SPOKANE, WA 99205(509) 444-8200 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2022, Aug 22, 2019 (2 updates tracked since 2019).

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About Ethan Lee Brockett Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN LEE BROCKETT DDS (NPI 1487201695) is an individual dentist in Spokane, Washington, licensed in Washington (DE61103491) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487201695

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameETHAN LEE BROCKETTCredential: DDS

Location Address3919 N MAPLE STSpokane, WA 99205-1349

Mailing Address611 N Iron Bridge WaySpokane, WA 99202-4932 · (509) 444-8888

Phone(509) 444-8200

Sole ProprietorNo

Enumeration DateAugust 22, 2019

Last NPPES UpdateNovember 2, 20222 updates tracked since enumeration

NPPES CertifiedNovember 2, 2022

✔ NPI 1487201695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE61103491

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3919 N MAPLE ST, Spokane, WA 99205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Lee Brockett Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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