Miguel Jacome Jr., EFDA ASSISTANT

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

N Division St BLDG 2103
Tacoma, WA 98431-0001

Phone

(253) 966-7814

NPI assigned

Jul 7, 2016

Last updated

Jul 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1134571755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19710 13TH AVENUE CT E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878046",
            "telephone_number": "208-818-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N DIVISION ST BLDG 2103",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-966-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOME",
        "first_name": "MIGUEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "EFDA ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jacobsen, LICSW
• Joshua M Jacobson, DO
• Peter Jacobson
• Seth Joseph Jacobson, RN
• Carolyn M Jacoby, LCSW
• Nicolae Ion Jacot, AA
• Pete A. Jacques, PA-C
• Dorothy M Jaeger
• Zubeir Noordin Jaffer, MD
• Afzaal Iman Jafri

• Dental Assistant in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dental Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.