Anzi Dental Center 2

Primary specialty

DentistTaxonomy code 122300000X

License

DE00008264 Issued in WA

Legal business name

ANZI DENTAL CENTER 2

Practice address

20071 State Route 410 E
Bonney Lake, WA 98391-8460

Phone

(253) 447-4966

Fax

(253) 447-4968

NPI assigned

Jan 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rosa Maria Cortesi

Title

Office Manager (Corporate Office)

Phone

(253) 435-4401

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083750327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20071 STATE ROUTE 410 E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918460",
            "telephone_number": "253-447-4966",
            "fax_number": "253-447-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20071 STATE ROUTE 410 E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918460",
            "telephone_number": "253-447-4966",
            "fax_number": "253-447-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANZI DENTAL CENTER 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORTESI",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER (CORPORATE OFFICE)",
        "authorized_official_telephone_number": "253-435-4401",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00008264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5048319",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel William Anderson, D.C.
• Pamela Jo Anderson, OTR/L
• Rachel Renee Andringa
• Ankle & Foot Specialist of Puget Sound, PS (Ankle & Foot Specialist of Bonney Lake)
• Bryan James Antonius, R.T.
• Apple Physical Therapy LLC (ATI Physical Therapy)
• Alessandro Aracri
• Melanie S Arntsen, MACP
• Ashley Hoss Therapy PLLC
• Auburn Regional Medical Group

• Dentist in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.