Active NPI
Daniel W Samms, LP
- Prosthetist
- Federal Way, WA
National Provider Identifier
1104057082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- PS00000208
- Practice address
- 34709 9TH Ave S
Ste a-100
Federal Way, WA 98003-8722 - Phone
- (253) 952-3887
- Fax
- (253) 927-3058
- NPI assigned
- Jul 27, 2009
- 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 |
|---|---|---|---|---|
| Prosthetist | 224P00000X | PS00000208 | WA | Primary |
Addresses
Primary practice location
34709 9TH Ave S
Ste a-100
Federal Way, WA 98003-8722
Mailing address
1901 S Cedar St
Ste 101
Tacoma, WA 98405-2308
Phone (253) 572-1282
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 |
|---|---|---|---|
| PS00000208 | WA | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Orthotic and Prosthetic Services Inc | Prosthetist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Federal Way, WA
- NPI 1689713265
Prosthetist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368748800000",
"number": "1104057082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 S CEDAR ST",
"address_2": "STE 101",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052308",
"telephone_number": "253-572-1282",
"fax_number": "253-572-1175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34709 9TH AVE S",
"address_2": "STE A-100",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038722",
"telephone_number": "253-952-3887",
"fax_number": "253-927-3058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMMS",
"first_name": "DANIEL",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "LP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-27",
"last_updated": "2013-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "WA",
"license": "PS00000208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.