Active NPI
Jose Eddie Berlanga Jr.
- Denturist
- Tacoma, WA
National Provider Identifier
1124577374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DN00000135
- Practice address
- 601 N Puget Sound Ave
Tacoma, WA 98406-5425 - Phone
- (253) 535-4011
- Fax
- (253) 507-7346
- NPI assigned
- Sep 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Denturist | 122400000X | DN00000135 | WA | Primary |
Addresses
Primary practice location
601 N Puget Sound Ave
Tacoma, WA 98406-5425
Mailing address
601 N Puget Sound Ave
Tacoma, WA 98406-5425
Phone (253) 535-4011
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 |
|---|---|---|---|
| DN00000135 | WA | MD | Denturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1124577374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N PUGET SOUND AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984065425",
"telephone_number": "253-535-4011",
"fax_number": "253-507-7346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N PUGET SOUND AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984065425",
"telephone_number": "253-535-4011",
"fax_number": "253-507-7346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERLANGA",
"first_name": "JOSE",
"middle_name": "EDDIE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-29",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "WA",
"license": "DN00000135",
"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 Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.