Individual provider Active NPI

Cynthia Vanessa Feleppa, DDS

  • General Practice Dentistry
  • Tacoma, WA
National Provider Identifier
1063457935
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00010084 Issued in WA
Practice address
3712 S Cedar St
Tacoma, WA 98409-5715
Phone
(253) 682-2860
Fax
(253) 682-2191
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00010084 WA
General Practice Dentistry 1223G0001X DE00010084 WA Primary

Addresses

Primary practice location

3712 S Cedar St
Tacoma, WA 98409-5715

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Other practice location 1

Bldg 9900, 2nd Floor
U.S. Army Dental Activity - Fort Lewis
Tacoma, WA 98431-0001
Phone (253) 968-4039

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

LicenseStateTypeSpecialty
DE00010084WAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1063457935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 S CEDAR ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984095715",
            "telephone_number": "253-682-2860",
            "fax_number": "253-682-2191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bldg 9900, 2nd Floor",
            "address_2": "U.S. ARMY DENTAL ACTIVITY - FORT LEWIS",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984310001",
            "country_code": "US",
            "telephone_number": "253-968-4039",
            "fax_number": "253-968-5919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELEPPA",
        "first_name": "CYNTHIA",
        "middle_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010084",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.