Robert R. Radz DDS, PS.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8167 Issued in WA

Legal business name

ROBERT R. RADZ DDS, PS.

Practice address

10217 123Rd Street CT E
Suite 100
Puyallup, WA 98374-2633

Phone

(253) 848-2988

Fax

(253) 840-9221

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert R Radz, DDS

Title

President

Phone

(253) 848-2988

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South Hill Family Dentistry Other name

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093853129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10217 123RD STREET CT E",
            "address_2": "SUITE 100",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742633",
            "telephone_number": "253-848-2988",
            "fax_number": "253-840-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10217 123RD STREET CT E",
            "address_2": "SUITE 100",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742633",
            "telephone_number": "253-848-2988",
            "fax_number": "253-840-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R. RADZ DDS, PS.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-848-2988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "8167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1205983277",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Hill Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sabrina Rios, LMP
• Rising Sun Therapy Services
• Luanne Rae Rivera
• RN Sunrise Operations LLC
• Austin Robbins, DPT
• Daniel Allan Roberts, DMD
• Leah Fox Roberts
• Madeline Anne Roberts, DPT
• Randy Faith Roberts, L.I.C.S.W.
• Steven G Roberts, FNP

• General Practice Dentistry in Puyallup, WA
• Providers in Puyallup, WA by specialty
• General Practice Dentistry 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.