Active NPI
Paul Billman, DMD
- General Practice Dentistry
- Tacoma, WA
National Provider Identifier
1063523967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D6258
- Practice address
- Pshcs Dent a-112
9600 Veterans Drive
Tacoma, WA 98493-0001 - Phone
- (253) 589-4005
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D6258 | OR | Primary |
Addresses
Primary practice location
Pshcs Dent a-112
9600 Veterans Drive
Tacoma, WA 98493-0001
Mailing address
Pshcs Dent a-112
9600 Veterans Drive
Tacoma, WA 98493-0001
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 |
|---|---|---|---|
| D6258 | OR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1063523967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PSHCS DENT A-112",
"address_2": "9600 VETERANS DRIVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984930001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PSHCS DENT A-112",
"address_2": "9600 VETERANS DRIVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984930001",
"telephone_number": "253-589-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLMAN",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D6258",
"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 Jul 10, 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.